Poudre Valley Medical Group, LLC
Urology in Broomfield, CO. Organization (NPI-2).
NPI number1215540539
StatusActive
Last updated in NPPESJul 20, 2026
Details
- NPI
- 1215540539
- Entity type
- Organization (NPI-2)
- Legal business name
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 26, 2020
- Certification date
- Jul 20, 2026
- Last updated
- Jul 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 207RS0012X | Internal Medicine, Sleep Medicine | – | – |
Other names
- Uchealth Medical Group (Doing Business As)
Practice location
340 E 1st Ave Ste 101Broomfield, CO 80020-2444
Phone 303-544-3800 · Fax 303-544-3810
Mailing address
2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Authorized official
Jana Conroy
Director Of Credentialing
3035443800
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