Poudre Valley Medical Group, LLC

NPI #1538954425 in Pueblo, Colorado

Provider Information

NPI Number
1538954425
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
Psychiatry & Neurology - Neurology
Enumeration Date
Apr 11, 2025
Last Updated
Apr 11, 2025

Practice Location

Address
1600 N GRAND AVE STE 508
City
Pueblo
ZIP Code
81003-2757
Phone
(719) 595-7040

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 595-7040

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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