POUDRE VALLEY MEDICAL GROUP LLC NPI 1982387981

NPI Information

  • NPI: 1982387981
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: UCHEALTH MEDICAL GROUP
  • Address: 175 INVERNESS DR W STE 300
    ENGLEWOOD, CO
    ZIP 80112
  • Phone: (303) 265-3390

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is a neurology psychiatry neurology in Englewood, CO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1982387981. 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:

175 INVERNESS DR W STE 300
ENGLEWOOD, CO
ZIP 80112-069
Phone: (303) 265-3390
Fax: (720) 516-0237

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (303) 265-3390.

The enumeration date for this NPI number is 8/8/2023 and was last updated on 8/19/2024.

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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22084N0400XPsychiatry & NeurologyNeurologyYes
3261QR0404XClinic/CenterRehabilitation, Cardiac FacilitiesNo

What is NPI?

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This page was last updated on: 3/30/2025

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