Poudre Valley Medical Group, LLC

NPI #1780293720 in Timnath, Colorado

Provider Information

NPI Number: 1780293720
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: Obstetrics & Gynecology
Enumeration Date: Jul 27, 2020
Last Updated: Aug 8, 2024

Practice Location

Address: 4650 SIGNAL TREE DR STE 1200
City: Timnath
State: Colorado
ZIP Code: 80547-4908
Phone: (970) 237-7415

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (970) 237-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X	Primary

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