| Poudre Valley Medical Group, Llc | |
|
2900 Peak Ave Longmont CO 80504-6236 | |
| (720) 652-4468 | |
| (720) 718-8999 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2900 Peak Ave, Longmont, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7206524468 |
| 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: (720) 652-4468 | Poudre Valley Medical Group, Llc 2900 Peak Ave Longmont CO 80504-6236 Ph: (720) 652-4468 |
| NPI Number | 1154937282 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154937282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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