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

Poudre Valley Medical Group, LLC

Organization Urology Physician · NPI 1255127981

Poudre Valley Medical Group, LLC is an Urology Physician in Pueblo, Colorado. Registered with an NPI since 2025.

In the registry since
2025
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

3676 Parker Blvd Ste 280
Pueblo, CO 81008-2213
Phone: (719) 542-1500
Fax: (719) 545-8626
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1255127981
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 595-8505
Other names Uchealth Medical Group; Uchealth Urology Clinic - Park West
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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