Poudre Valley Medical Group, LLC

NPI #1275134900 in Fort Collins, Colorado

Provider Information

NPI Number
1275134900
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
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Nov 9, 2020
Last Updated
Jul 15, 2024

Practice Location

Address
2315 E HARMONY RD STE 160
ZIP Code
80528-8620
Phone
(970) 493-8800

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(970) 493-8800

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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