POUDRE VALLEY MEDICAL GROUP LLC NPI 1306436381

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a general practice in Colorado Springs, CO. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1306436381. The provider is registered as an organization entity type.
The provider Other Name Is Uchealth Aspen Creek Medical Center.

The provider's business location address is:

9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO
ZIP 80920-923
Phone: (719) 278-3627
Fax: (719) 623-2101

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 06D1076686 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/22/2021 and was last updated on 2/9/2021.

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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