| Poudre Valley Medical Group, Llc | |
|
5818 N Nevada Ave Ste 225 Colorado Springs CO 80918-3547 | |
| (719) 365-7630 | |
| (719) 365-7631 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 5818 N Nevada Ave Ste 225, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7193657630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poudre Valley Medical Group, Llc 2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | Poudre Valley Medical Group, Llc 5818 N Nevada Ave Ste 225 Colorado Springs CO 80918-3547 Ph: (719) 365-7630 |
| NPI Number | 1912514050 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912514050 | NPI | - | NPPES |
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