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 Dermatology Physician · NPI 1205445772

Poudre Valley Medical Group, LLC is a Dermatology Physician in Denver, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

100 Cook St Ste 306
Denver, CO 80206-5339
Phone: (720) 516-9405
Fax: (720) 516-9433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1205445772
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 516-9405
Other names Uchealth Medical Group
NPI enumeratedJuly 30, 2020
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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