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POUDRE VALLEY MEDICAL GROUP LLC NPI 1295495372


NPI Information

NPI: 1295495372
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1760 E KEN PRATT BLVD STE 201
LONGMONT, CO
ZIP 80504
Phone: (720) 718-5200
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POUDRE VALLEY MEDICAL GROUP, LLC is an obstetrics gynecology in Longmont, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1295495372. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

1760 E KEN PRATT BLVD STE 201
LONGMONT, CO
ZIP 80504-311
Phone: (720) 718-5200
Fax: (720) 718-5986

The provider's authorized official is Jana Conroy .
The authorized official title is Credentialing Manager and has the following contact phone number (970) 624-4443.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 12/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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