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POUDRE VALLEY MEDICAL GROUP LLC NPI 1841819539


NPI Information

NPI: 1841819539
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
4105 BRIARGATE PKWY STE 200
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 599-4692
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POUDRE VALLEY MEDICAL GROUP, LLC is an obstetrics gynecology in Colorado Springs, 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 1841819539. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4105 BRIARGATE PKWY STE 200
COLORADO SPRINGS, CO
ZIP 80920-484
Phone: (719) 599-4692
Fax: (719) 260-6250

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 4/13/2020 and was last updated on 4/13/2020.


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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