POUDRE VALLEY MEDICAL GROUP LLC NPI 1932793635

NPI Information

NPI: 1932793635
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
175 S UNION BLVD STE 305
COLORADO SPRINGS, CO
ZIP 80910
Phone: (719) 365-6881
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POUDRE VALLEY MEDICAL GROUP, LLC is a general practice in Colorado Springs, CO. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1932793635. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 S UNION BLVD STE 305
COLORADO SPRINGS, CO
ZIP 80910-126
Phone: (719) 365-6881
Fax: (719) 365-6877

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0200X	Internal Medicine	Infectious Disease			No
2	208D00000X	General Practice				Yes

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: 11/14/2023

NPI Synchronization or Removal

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