National Provider Identifier Database

POUDRE VALLEY MEDICAL GROUP LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

NPI Profile & details for POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number 1710593611
Legal business name
LBN
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official JANA CONROY - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart Yes
Enumeration date 09/17/2020
Last updated 12/08/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for POUDRE VALLEY MEDICAL GROUP, LLC

There are currently no reviews for POUDRE VALLEY MEDICAL GROUP, LLC


NPIdb - Home
v2.201