POUDRE VALLEY MEDICAL GROUP LLC NPI 1518627603

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a cardiovascular disease internal medicine in Longmont, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1518627603. 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:

1760 E KEN PRATT BLVD STE 205
LONGMONT, CO
ZIP 80504-311
Phone: (720) 718-5280
Fax: (720) 718-5989

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 12/30/2021 and was last updated on 12/30/2021.

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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