POUDRE VALLEY MEDICAL GROUP, LLC

TRINIDAD, CO
NPI1295354801
Other NameUCHEALTH GENERAL AND VASCULAR SURGERY CLINIC - TRINIDAD
Entity TypeOrganization
Authorized ContactJANA CONROY
Credentialing Manager
970-624-4443
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
POUDRE VALLEY MEDICAL GROUP, LLC
410 BENEDICTA AVE
TRINIDAD, CO 81082-2005
Phone number: 970-624-4443
Mailing Address
POUDRE VALLEY MEDICAL GROUP, LLC
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: 970-624-4443