National Provider Identifier Database

POUDRE VALLEY MEDICAL GROUP LLC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

POUDRE VALLEY MEDICAL GROUP, LLC
100 COOK STREET
SUITE 402
DENVER, CO80206
Phone: 720-516-9415
Fax: 720-516-9443
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Neurological Surgery 207T00000X

* Indicates primary specialty

NPI Profile & details for POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number 1912516485
Legal business name
LBN
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official JANA CONROY - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart Yes
Enumeration date 07/30/2020
Last updated 08/19/2024 - More than a year 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.

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