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POUDRE VALLEY MEDICAL GROUP LLC NPI 1649864448


NPI Information

NPI: 1649864448
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3520 E 15TH ST STE 201
LOVELAND, CO
ZIP 80538
Phone: (970) 669-9100
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POUDRE VALLEY MEDICAL GROUP, LLC is a pediatrics in Loveland, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1649864448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3520 E 15TH ST STE 201
LOVELAND, CO
ZIP 80538-939
Phone: (970) 669-9100
Fax: (970) 669-0440

The provider's authorized official is Jana Conroy .
The authorized official title is Manager Credentialing and has the following contact phone number (970) 624-4443.

The enumeration date for this NPI number is 2/23/2021 and was last updated on 2/23/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsYes

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: 4/28/2024

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