Poudre Valley Medical Group, LLC

NPI #1720689961 in Loveland, Colorado

Provider Information

NPI Number: 1720689961
Entity Type: Organization
Organization Name: Poudre Valley Medical Group, LLC
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 3850 GRANT AVE STE 200
City: Loveland
State: Colorado
ZIP Code: 80538-8431
Phone: (970) 624-5170

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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