Poudre Valley Medical Group, LLC
Neurological Surgery in Fort Collins, CO. Organization (NPI-2).
NPI number1164023313
StatusActive
Last updated in NPPESJun 7, 2024
Details
- NPI
- 1164023313
- Entity type
- Organization (NPI-2)
- Legal business name
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 4, 2020
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – |
Other names
- Uchealth Medical Group (Doing Business As)
- Uchealth Brain And Spine Clinic - Fort Collins (Other Name)
Practice location
1107 S Lemay Ave Ste 240Fort Collins, CO 80524-3959
Phone 970-495-7421 · Fax 970-495-7424
Mailing address
2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone 970-495-7421 · Fax 970-495-7424
Authorized official
Jana Conroy
Director Of Credentialing
9704957421
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Other Neurological Surgery Physician providers in Fort Collins, CO
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