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

Poudre Valley Medical Group, LLC

Organization Cardiovascular Disease Physician · NPI 1205456035

Poudre Valley Medical Group, LLC is a Cardiovascular Disease Physician in Laramie, Wyoming. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
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

3116 Willett Dr
Laramie, WY 82072-5048
Phone: (307) 742-9411
Fax: (307) 742-9423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1205456035
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (307) 742-9411
Other names Uchealth Medical Group
NPI enumeratedApril 22, 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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