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

Poudre Valley Medical Group, LLC

Organization Dermatology Physician · NPI 1760338479

Poudre Valley Medical Group, LLC is a Dermatology Physician in Longmont, Colorado. Registered with an NPI since 2026.

In the registry since
2026
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

1551 Professional Ln Unit 280
Longmont, CO 80501-6965
Phone: (720) 494-3118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1760338479
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 494-3118
Other names Uchealth Medical Group; Uchealth Dermatology Clinic - Longmont
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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