POUDRE VALLEY MEDICAL GROUP LLC NPI 1831986348

NPI Information

  • NPI: 1831986348
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1501 COURT ST
    PUEBLO, CO
    ZIP 81003
  • Phone: (719) 543-6755

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is an obstetrics gynecology in Pueblo, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1831986348. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1501 COURT ST
PUEBLO, CO
ZIP 81003-720
Phone: (719) 543-6755
Fax: (719) 583-2236

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 543-6755.

The enumeration date for this NPI number is 4/21/2025 and was last updated on 4/21/2025.

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
1207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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