POUDRE VALLEY MEDICAL GROUP LLC NPI 1871109819

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a hematology and oncology internal medicine in Loveland, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1871109819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 ROCKY MOUNTAIN AVE STE 2100
LOVELAND, CO
ZIP 80538-004
Phone: (970) 203-7153

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 9/16/2020 and was last updated on 4/20/2022.

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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