| Poudre Valley Medical Group, Llc | |
|
1600 N Grand Ave Ste 260 Pueblo CO 81003-2731 | |
| (719) 562-2010 | |
| (719) 562-2097 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 N Grand Ave Ste 260, Pueblo, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7195622010 |
| 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 1600 N Grand Ave Ste 260 Pueblo CO 81003-2731 Ph: (719) 562-2010 |
| NPI Number | 1447045455 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447045455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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