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

Poudre Valley Medical Group, LLC

Organization Phlebology Physician · NPI 1477168557

Poudre Valley Medical Group, LLC is a Phlebology Physician in Colorado Springs, 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

1400 E Boulder St Ste 600
Colorado Springs, CO 80909-5533
Phone: (719) 364-8346
Fax: (719) 364-8347
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Phlebology Physician Taxonomy 202K00000X

Record details

NPI number1477168557
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 364-8346
Other names Uchealth Medical Group
NPI enumeratedSeptember 15, 2020
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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