POUDRE VALLEY MEDICAL GROUP, LLC

BRIDGEPORT, NE
NPI1437780020
Doing Business AsUCHEALTH MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJANA CONROY
Credentialing Manager
970-624-4443
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
Enumeration Date2020-02-01
Last Update Date2021-02-09
Business Address
POUDRE VALLEY MEDICAL GROUP, LLC
1313 S ST
BRIDGEPORT, NE 69336-2563
Phone number: 308-262-1616
Mailing Address
POUDRE VALLEY MEDICAL GROUP, LLC
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: 308-262-1616