POUDRE VALLEY MEDICAL GROUP LLC NPI 1619579224

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a radiation oncology radiology in Fort Collins, CO. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1619579224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2121 E HARMONY RD UNIT 160
FORT COLLINS, CO
ZIP 80528-413
Phone: (970) 482-3328
Fax: (970) 482-1433

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 11/10/2020 and was last updated on 11/10/2020.

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:

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