POUDRE VALLEY MEDICAL GROUP LLC NPI 1700490455

NPI Information

  • NPI: 1700490455
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Doing Business As: UCHEALTH MEDICAL GROUP
  • Address: 4080 BRIARGATE PARKWAY
    COLORADO SPRINGS, CO
    ZIP 80920
  • Phone: (719) 365-6800

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is a radiation oncology radiology in Colorado Springs, 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 1700490455. 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:

4080 BRIARGATE PARKWAY
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 365-6800
Fax: (719) 365-5740

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 365-6800.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 8/5/2024.

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
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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