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

Poudre Valley Medical Group, LLC

Organization Surgery Physician · NPI 1720875289

Poudre Valley Medical Group, LLC is a Surgery 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

525 W 15th St Ste 300
Pueblo, CO 81003-2716
Phone: (719) 542-1696
Fax: (719) 542-1698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1720875289
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 542-1696
Other names Uchealth Medical Group; Uchealth Breast Center - Pueblo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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