Poudre Valley Medical Group, LLC

NPI #1720600018 in Fort Collins, Colorado

Provider Information

NPI Number
1720600018
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
May 11, 2020
Last Updated
Aug 8, 2024

Practice Location

Address
3744 S TIMBERLINE RD STE 102
ZIP Code
80525-4334
Phone
(970) 495-0506

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(970) 495-0506

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine

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