Poudre Valley Medical Group, LLC

NPI #1316567431 in Lamar, Colorado

Provider Information

NPI Number
1316567431
Entity Type
Organization
Organization Name
Poudre Valley Medical Group, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 18, 2020
Last Updated
Apr 18, 2020

Practice Location

Address
2221 WELLNESS WAY
City
Lamar
ZIP Code
81052-3867
Phone
(970) 624-4443

Authorized Official

Name
JANA CONROY
Title
CREDENTIALING MANAGER
Phone
(970) 624-4443

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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Organizations

Provider Name
Poudre Valley Medical Group, LLC

Part of Poudre Valley Medical Group, LLC

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