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Poudre Valley Medical Group, LLC

Organization Active NPI Gastroenterology Physician · Highlands Ranch, CO

NPI 1083365613 · NPPES record last updated Jun 11, 2024

Key facts

NPI
1083365613
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Practice address
206 W County Line Rd Ste 210
Highlands Ranch, CO 80129-2320
Phone
(720) 516-9089
Fax
(720) 516-9090
NPI assigned
Jan 14, 2022
Organization subpart
Yes
Parent organization (as reported)
POUDRE VALLEY MEDICAL GROUP, LLC

Authorized official

Name
Jana Conroy
Title
Director of Credentialing
Phone
(720) 516-9089

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Poudre Valley Medical LLC (282 organizations share this tax ID)
Part of
Poudre Valley Medical LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

206 W County Line Rd Ste 210
Highlands Ranch, CO 80129-2320

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other names

  • UCHealth Medical Group Doing business as
  • UCHealth Gastroenterology Clinic - County Line Other name

Other providers in Highlands Ranch, CO

All providers in Highlands Ranch, CO · Gastroenterology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.