NPI: 1972105583
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Doing Business As: UCHEALTH MEDICAL GROUP
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 06D1030536
Address:
2121 E HARMONY RD UNIT 230
FORT COLLINS, CO
ZIP 80528
Phone: (970) 224-3636
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POUDRE VALLEY MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Fort Collins, CO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1972105583. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Uchealth Medical Group.
The provider's business location address is:
2121 E HARMONY RD UNIT 230
FORT COLLINS, CO
ZIP 80528-401
Phone: (970) 224-3636
Fax: (970) 490-4245
The provider's authorized official is Jana Conroy .
The authorized official title is Credentialing Manager and has the following contact phone number (970) 224-3636.
The CLIA number assigned to this NPI record is 06D1030536 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/10/2020 and was last updated on 3/5/2024.