Poudre Valley Medical Group, LLC

NPI #1962298604 in Lamar, Colorado

Provider Information

NPI Number
1962298604
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 - Pulmonary Disease
Enumeration Date
Apr 18, 2025
Last Updated
Apr 18, 2025

Practice Location

Address
401 KENDALL DR
City
Lamar
ZIP Code
81052-3942
Phone
(719) 336-4343

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 336-4343

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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