Poudre Valley Medical Group, LLC

NPI #1356972301 in Eads, Colorado

Provider Information

NPI Number
1356972301
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
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jan 29, 2020
Last Updated
Jul 24, 2024

Practice Location

Address
1208 LUTHER STREET
City
Eads
ZIP Code
81036-0817
Phone
(719) 438-5401

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 438-5401

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Clinical Cardiac ElectrophysiologyClinical Cardiac Electrophysiology
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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