Poudre Valley Medical Group, LLC
NPI #1508322496 in Cripple Creek, Colorado
Provider Information
- NPI Number
- 1508322496
- 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
- Family Medicine
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 1101 COUNTY ROAD 1
- City
- Cripple Creek
- State
- Colorado
- ZIP Code
- 80813-8909
- Phone
- (719) 689-7763
Authorized Official
- Name
- JANA CONROY, MBA, RHIA
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 689-7763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Family Medicine |
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