Poudre Valley Medical Group, LLC
NPI #1568078277 in Broomfield, Colorado
Provider Information
- NPI Number
- 1568078277
- Entity Type
- Organization
- Organization Name
- Poudre Valley Medical Group, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Sep 17, 2020
- Last Updated
- Sep 17, 2020
Practice Location
- Address
- 875 W 136TH AVE STE 100
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-9303
- Phone
- (303) 544-3820
Authorized Official
- Name
- JANA CONROY
- Title
- CREDENTIALING MANAGER
- Phone
- (970) 624-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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