POUDRE VALLEY MEDICAL GROUP, LLC

LONGMONT, CO
NPI1770048845
Entity TypeOrganization
Authorized ContactJANA CONROY
Director Of Credentialing
303-776-1234
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine Gastroenterology
207RP1001X Internal Medicine Pulmonary Disease
207RR0500X Internal Medicine Rheumatology
207T00000X Neurological Surgery
207V00000X Obstetrics & Gynecology
231H00000X Audiologist
208100000X Physical Medicine & Rehabilitation
2084N0400X Psychiatry & Neurology Neurology
2086S0122X Surgery Plastic and Reconstructive Surgery
207Y00000X Otolaryngology
208800000X Urology
208000000X Pediatrics
207Q00000X Family Medicine
Enumeration Date2019-02-04
Last Update Date2024-08-08
Business Address
POUDRE VALLEY MEDICAL GROUP, LLC
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3128
Phone number: 303-776-1234
Mailing Address
POUDRE VALLEY MEDICAL GROUP, LLC
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: