Poudre Valley Medical Group, LLC

NPI #1750271714 in Colorado Springs, Colorado

Provider Information

NPI Number
1750271714
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
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Jul 9, 2025
Last Updated
Jul 9, 2025

Practice Location

Address
3843 RIO VISTA DR STE 2700
ZIP Code
80917-3379
Phone
(719) 364-5080

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 364-5080

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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