POUDRE VALLEY MEDICAL GROUP, LLC

COLORADO SPRINGS, CO
NPI1194344879
Other NameUCHEALTH PRIMARY CARE AND SPORTS MEDICINE CLINIC - LAKE PLAZA
Doing Business AsUCHEALTH MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJANA CONROY
Director Of Credentialing
719-365-3600
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207QS0010X Family Medicine, Sports Medicine
207RS0010X Internal Medicine, Sports Medicine
Enumeration Date2020-04-13
Last Update Date2024-06-11
Business Address
POUDRE VALLEY MEDICAL GROUP, LLC
1220 LAKE PLAZA DR STE 150
COLORADO SPRINGS, CO 80906-3548
Phone number: 719-365-3600
Mailing Address
POUDRE VALLEY MEDICAL GROUP, LLC
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: