NPI: 1396354866
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Doing Business As: UCHEALTH MEDICAL GROUP
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 06D2189722
Address:
100 COOK STREET
SUITE 408
DENVER, CO
ZIP 80206
Phone: (720) 516-9406
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POUDRE VALLEY MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Denver, CO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1396354866. 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:
100 COOK STREET
SUITE 408
DENVER, CO
ZIP 80206
Phone: (720) 516-9406
Fax: (720) 516-9434
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 CLIA number assigned to this NPI record is 06D2189722 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/30/2020 and was last updated on 1/12/2021.