Poudre Valley Medical Group, LLC

NPI #1700494408 in Burlington, Colorado

Provider Information

NPI Number: 1700494408
Entity Type: Organization
Organization Name: Poudre Valley Medical Group, LLC
Primary Specialty: General Practice
Enumeration Date: Jul 20, 2020
Last Updated: Jan 27, 2021

Practice Location

Address: 286 16TH ST
City: Burlington
State: Colorado
ZIP Code: 80807-1651
Phone: (719) 365-6317

Authorized Official

Name: JANA CONROY
Title: CREDENTIALING MANAGER
Phone: (970) 624-4443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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