Poudre Valley Medical Group, LLC
NPI #1437762028 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1437762028
- 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
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Aug 25, 2020
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 1625 MEDICAL CENTER PT STE 220
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80907-5798
- Phone
- (719) 364-5080
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 364-5080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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| Tad R. Heinz Md, PC | AI Deep Dive |
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