POUDRE VALLEY MEDICAL GROUP, LLC

LONGMONT, CO
NPI1891300596
Doing Business AsUCHEALTH MEDICAL GROUP
Other NameUCHEALTH SURGICAL CARE - LONGS PEAK HOSPITAL
Entity TypeOrganization
Authorized ContactJANA CONROY
Credentialing Manager
970-624-4443
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Additional Taxonomies208000000X Pediatrics
208600000X Surgery
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2020-09-10
Last Update Date2021-01-14
Business Address
POUDRE VALLEY MEDICAL GROUP, LLC
1750 E KEN PRATT BLVD FL 3
LONGMONT, CO 80504-5311
Phone number: 720-718-3930
Mailing Address
POUDRE VALLEY MEDICAL GROUP, LLC
1750 E KEN PRATT BLVD FL 3
LONGMONT, CO 80504-5311
Phone number: 720-718-3930