Poudre Valley Medical Group, LLC

NPI #1255918058 in Longmont, Colorado

Provider Information

NPI Number: 1255918058
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: Family Medicine
Enumeration Date: Mar 26, 2021
Last Updated: Jul 12, 2024

Practice Location

Address: 601 S MAIN ST
City: Longmont
State: Colorado
ZIP Code: 80501-6427
Phone: (720) 718-8410

Authorized Official

Name: JANA CONROY, MBA, RHIA
Title: DIRECTOR OF CREDENTIALING
Phone: (720) 718-8410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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