Poudre Valley Medical Group, LLC

NPI #1992336168 in Laramie, Wyoming

Provider Information

NPI Number
1992336168
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 - Cardiovascular Disease
Enumeration Date
Jan 28, 2020
Last Updated
Aug 19, 2024

Practice Location

Address
255 N 30TH ST
State
Wyoming
ZIP Code
82072-5140
Phone
(970) 221-1000

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(970) 221-1000

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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