POUDRE VALLEY MEDICAL GROUP, LLC is a plastic and reconstructive surgery surgery in Colorado Springs, CO. The provider is a surgeon who specializes in plastic and reconstructive surgery. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1437762028. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1625 MEDICAL CENTER PT STE 220
COLORADO SPRINGS, CO
ZIP 80907-798
Phone: (719) 578-1112
Fax: (719) 578-0128
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 8/25/2020 and was last updated on 8/25/2020.