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NPI Profile for POUDRE VALLEY MEDICAL GROUP LLC in FORT COLLINS, CO.
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI Number | 1619579224 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/10/2020 | |
| Last updated | 08/05/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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POUDRE VALLEY MEDICAL GROUP, LLC
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POUDRE VALLEY MEDICAL GROUP, LLC