Poudre Valley Medical Group, LLC
NPI #1437780020 in Bridgeport, Nebraska
Provider Information
- NPI Number
- 1437780020
- 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
- Feb 1, 2020
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 1313 S ST
- City
- Bridgeport
- State
- Nebraska
- ZIP Code
- 69336-2563
- Phone
- (308) 262-1616
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (308) 262-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Clinical Cardiac Electrophysiology — Clinical Cardiac Electrophysiology |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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