Poudre Valley Internists PC

NPI #1417993916 in Fort Collins, Colorado

Provider Information

NPI Number: 1417993916
Entity Type: Organization
Organization Name: Poudre Valley Internists PC
Primary Specialty: Specialist
Enumeration Date: Jun 22, 2006
Last Updated: May 1, 2009

Practice Location

Address: 4674 SNOW MESA DR
Address 2: STE 100
City: Fort Collins
State: Colorado
ZIP Code: 80528-8615
Phone: (970) 482-3712

Authorized Official

Name: MELISSA MCCANN-STOECKLE
Title: BILLING MANAGER
Phone: (970) 482-3712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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