Poudre Valley Medical Group, LLC
NPI #1598333197 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1598333197
- 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
- Pain Medicine - Pain Medicine
- Enumeration Date
- Jun 11, 2021
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 1400 E BOULDER ST STE 2370
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80909-5533
- Phone
- (719) 365-1310
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 365-1310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
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