Poudre Valley Medical Group, LLC

NPI #1265229728 in Pueblo, Colorado

Provider Information

NPI Number
1265229728
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
Radiology - Radiation Oncology
Enumeration Date
Apr 21, 2025
Last Updated
Apr 21, 2025

Practice Location

Address
525 W 15TH ST STE 100
City
Pueblo
ZIP Code
81003-2716
Phone
(719) 542-1680

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 542-1680

Specialties & Taxonomy Codes

Specialty
Radiology - Radiation OncologyRadiation Oncology

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