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

Poudre Valley Medical Group, LLC

Organization Internal Medicine Physician · NPI 1457146342

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

In the registry since
2025
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

1600 N Grand Ave Ste 245
Pueblo, CO 81003-2731
Phone: (719) 595-7700
Fax: (719) 595-7719
Show map & directions

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

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1457146342
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 595-7700
Other names Uchealth Medical Group
NPI enumeratedApril 11, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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