Poudre Valley Medical Group, LLC
NPI #1659902898 in Springfield, Colorado
Provider Information
- NPI Number
- 1659902898
- 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
- Jan 27, 2020
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 373 E 10TH AVE
- City
- Springfield
- State
- Colorado
- ZIP Code
- 81073-1622
- Phone
- (719) 523-6628
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 523-6628
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