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1144836750
POUDRE VALLEY MEDICAL GROUP, LLC
GREELEY, CO
NPI
1144836750
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Entity Type
Organization
Authorized Contact
JANA CONROY
Credentialing Manager
970-624-4443
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
POUDRE VALLEY MEDICAL GROUP, LLC
1715 61ST AVE
GREELEY, CO 80634-7989
Phone number: 970-336-1500
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Mailing Address
POUDRE VALLEY MEDICAL GROUP, LLC
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: 970-336-1500
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