OrganizationActive
Poudre Valley Medical Group, LLC
NPI 1447869474 · Cardiovascular Disease Physician · Casper, WY
Provider details
- NPI number
- 1447869474
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Poudre Valley Medical Group, LLC
- Authorized official
- Jana Conroy, Director of Credentialing
Practice location
428 S Durbin St
Casper, WY 82601-2820
Phone: (307) 337-4284
Fax: (307) 673-5501
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2024-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.