| Poudre Valley Medical Group, Llc | |
|
3519 Richmond Dr Fort Collins CO 80526-5995 | |
| (970) 207-4864 | |
| (970) 207-4885 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3519 Richmond Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Jana Conroy (MANAGER CREDENTIALING) |
| Authorized Official Contact | 9706244443 |
| 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: (970) 624-4443 | Poudre Valley Medical Group, Llc 3519 Richmond Dr Fort Collins CO 80526-5995 Ph: (970) 207-4864 |
| NPI Number | 1346835972 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 03/05/2021 |
| Certification Date | 03/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346835972 | NPI | - | NPPES |
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