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An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1205456035 |
| LBN Legal business name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Authorized official | JANA CONROY - (DIRECTOR OF CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/22/2020 |
| Last updated | 06/19/2024 - More than a year ago |
| Identifiers | n/a |
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POUDRE VALLEY MEDICAL GROUP, LLC