Poudre Valley Medical Group, LLC

NPI #1699388934 in Johnstown, Colorado

Provider Information

NPI Number: 1699388934
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: Aug 26, 2020
Last Updated: Aug 5, 2024

Practice Location

Address: 4846 LARIMER PKWY BLDG 1
City: Johnstown
State: Colorado
ZIP Code: 80534-9012
Phone: (970) 624-2830

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (970) 624-2830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Family Medicine	207Q00000X	Primary

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