Poudre Valley Medical Group, LLC
Obstetrics & Gynecology in Pueblo, CO. Organization (NPI-2).
NPI number1831986348
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1831986348
- Entity type
- Organization (NPI-2)
- Legal business name
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 21, 2025
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Other names
- Uchealth Medical Group (Doing Business As)
- Associates In Womens Health - Court Street (Other Name)
Practice location
1501 Court StPueblo, CO 81003-2720
Phone 719-543-6755 · Fax 719-583-2236
Mailing address
2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Authorized official
Jana Conroy
Director Of Credentialing
7195436755
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