POUDRE VALLEY MEDICAL GROUP LLC, General Practice COLORADO SPRINGS, CO

Contact Information

POUDRE VALLEY MEDICAL GROUP, LLC

1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909-5533

Phone: 719-365-1292
Fax: 719-365-6997
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Emergency Care	261QE0002X
Hospice and Palliative Medicine	207RH0002X	11	Physician/Internal Medicine
Hospitalist	208M00000X
Maternal & Fetal Medicine	207VM0101X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for POUDRE VALLEY MEDICAL GROUP LLC · (Female)

NPI Number	`1609405844`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/08/2020
Last updated	08/01/2024 - More than a year ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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POUDRE VALLEY MEDICAL GROUP LLCGeneral Practice

Contact Information

Specialty

General Practice

Clinical

Emergency Care

Hospice and Palliative Medicine

Hospitalist

Maternal & Fetal Medicine

NPI Profile & details for POUDRE VALLEY MEDICAL GROUP LLC · (Female)

Reviews for POUDRE VALLEY MEDICAL GROUP, LLC

POUDRE VALLEY MEDICAL GROUP LLC
General Practice