Poudre Valley Medical Group, LLC
NPI #1861012981 in Canon City, Colorado
Provider Information
- NPI Number
- 1861012981
- 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 18, 2020
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 1335 PHAY AVE STE D
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2349
- Phone
- (719) 269-1727
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 269-1727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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