Poudre Valley Medical Group, LLC

NPI #1295495372 in Longmont, Colorado

Provider Information

NPI Number
1295495372
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
Obstetrics & Gynecology
Enumeration Date
Dec 30, 2021
Last Updated
Jul 15, 2024

Practice Location

Address
1760 E KEN PRATT BLVD STE 201
ZIP Code
80504-5311
Phone
(720) 718-8222

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(720) 718-8222

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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