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
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (970) 221-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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Individual Providers
| Provider Name | |
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| Thomas S Edwards | |
| DR. David Manuel Gonzalez, MD | |
| Brian D. Kelly, D.O. |
Organizations
| Provider Name | |
|---|---|
| Poudre Valley Medical Group, LLC Part of Poudre Valley Medical Group, LLC | |
| Timothy Fleming M.d. PC |
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