POUDRE VALLEY MEDICAL GROUP LLC NPI 1366763260

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a general practice in Loveland, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1366763260. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

2695 ROCKY MOUNTAIN AVE
SUITE 150
LOVELAND, CO
ZIP 80538-702
Phone: (970) 624-4420
Fax: (970) 624-4459

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 6/15/2010 and was last updated on 11/19/2019.

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:

Other Identifiers

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