OrganizationActive
Poudre Valley Medical Group, LLC
NPI 1396531745 · Plastic and Reconstructive Surgery Physician · Pueblo, CO
Provider details
- NPI number
- 1396531745
- 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(719) 542-2470
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1600 N Grand Ave Ste 230
Pueblo, CO 81003-2731
Phone: (719) 542-2470
Fax: (719) 542-2465
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
- Other name
- Uchealth Plastic and Reconstructive Surgery Clinic - Parkview Mob
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.