Poudre Valley Medical Group, LLC

NPI #1891300596 in Longmont, Colorado

Provider Information

NPI Number
1891300596
Entity Type
Organization
Organization Name
Poudre Valley Medical Group, LLC
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Sep 10, 2020
Last Updated
Jan 14, 2021

Practice Location

Address
1750 E KEN PRATT BLVD FL 3
ZIP Code
80504-5311
Phone
(720) 718-3930

Authorized Official

Name
JANA CONROY
Title
CREDENTIALING MANAGER
Phone
(970) 624-4443

Specialties & Taxonomy Codes

Specialty
Pediatrics
Surgery
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Internal Medicine - Pulmonary DiseasePulmonary Disease

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