Poudre Valley Medical Group, LLC
Internal Medicine, Hematology & Oncology in Yuma, CO. Organization (NPI-2).
NPI number1164052783
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1164052783
- Entity type
- Organization (NPI-2)
- Legal business name
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 23, 2020
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – |
Other names
- Uchealth Medical Group (Doing Business As)
Practice location
1000 W 8th AveYuma, CO 80759-2641
Phone 970-848-5405 · Fax 970-848-2348
Mailing address
2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone 970-848-5405 · Fax 970-848-2348
Authorized official
Jana Conroy
Director Of Credentialing
9708485405
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