POUDRE VALLEY MEDICAL GROUP LLC NPI 1033905856

NPI Information

  • NPI: 1033905856
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 2500 ROCKY MOUNTAIN AVE STE 2100B
    LOVELAND, CO
    ZIP 80538
  • Phone: (970) 203-7080

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is a hematology and oncology internal medicine in Loveland, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1033905856. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 ROCKY MOUNTAIN AVE STE 2100B
LOVELAND, CO
ZIP 80538-004
Phone: (970) 203-7080
Fax: (970) 203-7085

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (970) 203-7080.

The enumeration date for this NPI number is 4/17/2025 and was last updated on 4/17/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

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: 11/21/2025

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