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

Poudre Valley Medical Group, LLC

Organization Cardiovascular Disease Physician · NPI 1841087368

Poudre Valley Medical Group, LLC is a Cardiovascular Disease Physician in Canon City, Colorado. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
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

109 Latigo Ln Ste E
Canon City, CO 81212-8113
Phone: (719) 562-2900
Fax: (719) 924-1592
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1841087368
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 562-2900
Other names Uchealth Medical Group; Uchealth Specialty Care Clinic - Canon City; Uchealth Specialty Care Clinic - Canon City
NPI enumeratedApril 21, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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