OrganizationActive
Poudre Valley Medical Group, LLC
NPI 1205456035 · Cardiovascular Disease Physician · Laramie, WY
Provider details
- NPI number
- 1205456035
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Jana Conroy, Director of Credentialing(307) 742-9411
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
3116 Willett Dr
Laramie, WY 82072-5048
Phone: (307) 742-9411
Fax: (307) 742-9423
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
- 2020-04-22
- 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.