| Poudre Valley Medical Group, Llc | |
|
4722 Eagleridge Cir Pueblo CO 81008-2344 | |
| (719) 595-7563 | |
| (719) 595-7907 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 4722 Eagleridge Cir, Pueblo, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7195957563 |
| 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 4722 Eagleridge Cir Pueblo CO 81008-2344 Ph: (719) 595-7563 |
| NPI Number | 1376330837 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376330837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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