POUDRE VALLEY MEDICAL GROUP LLC NPI 1376162206

NPI Information

NPI: 1376162206
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
6767 29TH ST FL 2
GREELEY, CO
ZIP 80634
Phone: (970) 224-3636
Get Directions

POUDRE VALLEY MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Greeley, CO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1376162206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6767 29TH ST FL 2
GREELEY, CO
ZIP 80634-474
Phone: (970) 224-3636

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 4/10/2020 and was last updated on 4/10/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			Yes

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: 11/14/2023

NPI Synchronization or Removal

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