POUDRE VALLEY MEDICAL GROUP LLC NPI 1457011652

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a radiation oncology radiology in Scottsbluff, NE. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1457011652. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3911 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361-617
Phone: (999) 999-9999

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 12/29/2021 and was last updated on 12/29/2021.

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:

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