| Poudre Valley Medical Group, Llc | |
|
1675 18th Ave Ste 3 Greeley CO 80631-5151 | |
| (970) 347-5780 | |
| (970) 347-5797 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1675 18th Ave Ste 3, Greeley, Colorado |
| Authorized Official Name and Position | Jana Conroy (CREDENTIALING MANAGER) |
| 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) 347-5780 | Poudre Valley Medical Group, Llc 1675 18th Ave Ste 3 Greeley CO 80631-5151 Ph: (970) 347-5780 |
| NPI Number | 1659993756 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659993756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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