Lookup NPI Numbers from the NPI Registry
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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 |
| NPI Number | 1609405844 |
| LBN Legal business name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Authorized official | JANA CONROY - (DIRECTOR OF CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/08/2020 |
| Last updated | 08/01/2024 - More than a year ago |
| Identifiers | n/a |
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POUDRE VALLEY MEDICAL GROUP, LLC
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POUDRE VALLEY MEDICAL GROUP, LLC