POUDRE VALLEY MEDICAL GROUP LLC NPI 1952921082

NPI Information

POUDRE VALLEY MEDICAL GROUP, LLC is a cardiovascular disease internal medicine in Colorado Springs, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1952921082. 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:

1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO
ZIP 80909-533
Phone: (719) 635-7172
Fax: (719) 365-7668

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 4/18/2020 and was last updated on 1/12/2021.

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:

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