Poudre Valley Medical Group, LLC

NPI #1962001719 in Aurora, Colorado

Provider Information

NPI Number: 1962001719
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: Social Worker
Enumeration Date: Oct 22, 2020
Last Updated: Aug 19, 2024

Practice Location

Address: 12605 E 16TH AVE
City: Aurora
State: Colorado
ZIP Code: 80045-2545
Phone: (720) 848-9111

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (720) 848-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Emergency Care — Emergency Care	261QE0002X
Social Worker	104100000X	Primary

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