Poudre Valley Medical Group, LLC

NPI #1316733751 in Pueblo, Colorado

Provider Information

NPI Number
1316733751
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
Pain Medicine - Pain Medicine
Enumeration Date
Apr 15, 2025
Last Updated
Apr 15, 2025

Practice Location

Address
1600 N GRAND AVE STE 520
City
Pueblo
ZIP Code
81003-2757
Phone
(719) 562-2360

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 562-2360

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine

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