Poudre Valley Medical Group, LLC

NPI #1225658057 in La Junta, Colorado

Provider Information

NPI Number
1225658057
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
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 22, 2020
Last Updated
Apr 21, 2025

Practice Location

Address
1100 CARSON AVE
ZIP Code
81050-2751
Phone
(719) 384-5412

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 384-5412

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease
Urology
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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