Poudre Valley Medical Group, LLC

NPI #1831987163 in Colorado City, Colorado

Provider Information

NPI Number: 1831987163
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: Family Medicine
Enumeration Date: Apr 28, 2025
Last Updated: Apr 28, 2025

Practice Location

Address: 4491 BENT BROTHERS BLVD
Address 2: SUITE A
City: Colorado City
State: Colorado
ZIP Code: 81019-9990
Phone: (719) 595-7525

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (719) 595-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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