Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC is a Cardiovascular Disease Physician in Lamar, 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.
Practice location Address checks out
201 Kendall DrLamar, CO 81052-3939
Phone: (719) 336-0261
Fax: (719) 336-0265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1275155327 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Poudre Valley Medical Group, LLC |
| Authorized official | Jana Conroy — Director Of Credentialing · (719) 336-0261 |
| NPI enumerated | May 12, 2020 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
| Mailing address | 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 |
Other providers in Lamar
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Poudre Valley Medical Group, LLC
403 Kendall Dr, Lamar, CO 81052-3953 · (719) 336-6790