| Poudre Valley Medical Group, Llc | |
|
4809 Argonne St Ste 100 Denver CO 80249-6835 | |
| (303) 344-8700 | |
| (303) 344-0200 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4809 Argonne St Ste 100, Denver, Colorado |
| Authorized Official Name and Position | Jana Conroy (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9706244443 |
| 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: (970) 624-4443 | Poudre Valley Medical Group, Llc 4809 Argonne St Ste 100 Denver CO 80249-6835 Ph: (303) 344-8700 |
| NPI Number | 1063176055 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063176055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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