Poudre Valley Medical Group, LLC

NPI #1912506767 in Longmont, Colorado

Provider Information

NPI Number
1912506767
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
Hospitalist
Enumeration Date
Oct 22, 2020
Last Updated
Aug 19, 2024

Practice Location

Address
1750 E KEN PRATT BLVD
ZIP Code
80504-5311
Phone
(720) 718-7000

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(720) 718-7000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - NeonatalNeonatal
Social Worker - ClinicalClinical
Internal Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Clinic/Center - Emergency CareEmergency Care
Hospitalist

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