| Poudre Valley Medical Group, Llc | |
|
4650 Signal Tree Dr Ste 1200 Timnath CO 80547-4908 | |
| (970) 237-7415 | |
| (970) 237-7420 |
| Full Name | Poudre Valley Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4650 Signal Tree Dr Ste 1200, Timnath, 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: (303) 860-7770 | Poudre Valley Medical Group, Llc 4650 Signal Tree Dr Ste 1200 Timnath CO 80547-4908 Ph: (970) 237-7415 |
| NPI Number | 1497349260 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497349260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Signal Tree Dr Unit B200, Timnath, CO 80547 Phone: 970-821-3830 | |
Uchealth Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547 Phone: 970-237-7415 Fax: 970-237-7420 | |
Ann-marie Bowman Lcsw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Maverick Ave, Timnath, CO 80547 Phone: 503-758-7478 |