Poudre Valley Medical Group, LLC

NPI #1942096680 in Pueblo, Colorado

Provider Information

NPI Number
1942096680
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
Obstetrics & Gynecology
Enumeration Date
Apr 18, 2025
Last Updated
Apr 18, 2025

Practice Location

Address
4010 JERRY MURPHY RD
City
Pueblo
ZIP Code
81001-1045
Phone
(719) 562-2021

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 562-2021

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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