OrganizationActive
Poudre Valley Medical Group, LLC
NPI 1205445772 · Plastic and Reconstructive Surgery Physician · Denver, CO
Provider details
- NPI number
- 1205445772
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Jana Conroy, Director of Credentialing(720) 516-9405
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Practice location
100 Cook St Ste 306
Denver, CO 80206-5339
Phone: (720) 516-9405
Fax: (720) 516-9433
Approximate (ZIP-level) locationGet directions
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Other names (DBA / former)
- Doing business as
- Uchealth Medical Group
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.