Poudre Valley Medical Group, LLC
NPI #1841087368 in Canon City, Colorado
Provider Information
- NPI Number
- 1841087368
- 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
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Apr 21, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 109 LATIGO LN STE E
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-8113
- Phone
- (719) 562-2900
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 562-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Surgery - Vascular Surgery — Vascular Surgery |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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