Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Poudre Valley Medical Group, LLC

Organization General Practice Physician · NPI 1114598737

Poudre Valley Medical Group, LLC is a General Practice Physician in Colorado Springs, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 E Boulder St Ste 2410
Colorado Springs, CO 80909-5533
Phone: (719) 365-6525
Fax: (719) 365-5831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1114598737
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 365-6525
Other names Uchealth Medical Group
NPI enumeratedJuly 6, 2021
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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