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Poudre Valley Medical Group, LLC

Organization Active NPI Orthopaedic Surgery Physician · Loveland, CO

NPI 1760194955 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1760194955
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Practice address
221 E 29TH St Ste 105
Loveland, CO 80538-2746
Phone
(970) 776-3222
Fax
(970) 776-3226
NPI assigned
Dec 19, 2022
Organization subpart
Yes
Parent organization (as reported)
POUDRE VALLEY MEDICAL GROUP, LLC

Authorized official

Name
Jana Conroy
Title
Director of Credentialing
Phone
(970) 776-3222

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
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X

Addresses

Primary practice location

221 E 29TH St Ste 105
Loveland, CO 80538-2746

Mailing address

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

Other names

  • UCHealth Medical Group Doing business as

Other providers in Loveland, CO

All providers in Loveland, CO · Orthopaedic Surgery Physician in Colorado

Sources for this page

Verify at the official NPI Registry.