| Poudre Valley Medical Group, Llc | |
|
206 W County Line Rd Ste 230 Highlands Ranch CO 80129-2320 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 206 W County Line Rd Ste 230, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF 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: () - | Poudre Valley Medical Group, Llc 206 W County Line Rd Ste 230 Highlands Ranch CO 80129-2320 Ph: (999) 999-9999 |
| NPI Number | 1871246835 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871246835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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