Poudre Valley Medical Group, LLC
NPI #1215540539 in Broomfield, Colorado
Provider Information
- NPI Number
- 1215540539
- Entity Type
- Organization
- Organization Name
- Poudre Valley Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- POUDRE VALLEY MEDICAL GROUP, LLC
- Primary Specialty
- Urology
- Enumeration Date
- Aug 26, 2020
- Last Updated
- Mar 5, 2024
Practice Location
- Address
- 340 E 1ST AVE STE 101
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-2444
- Phone
- (303) 544-3800
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (303) 544-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine - Sleep Medicine — Sleep Medicine |
| Urology |
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