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
- City
- Fort Collins
- State
- Colorado
- 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 Medicine — Pain Medicine |
Similar Providers
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| Provider Name | |
|---|---|
| DR. Matthew David Pouliot, D.O. | |
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Organizations
| Provider Name | |
|---|---|
| Fort Collins Pain Treatment Center INC | |
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