OrganizationActive
Poudre Valley Medical Group, LLC
NPI 1578242525 · Vascular Surgery Physician · Loveland, CO
Provider details
- NPI number
- 1578242525
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Poudre Valley Medical Group, LLC
- Authorized official
- Jana Conroy, Director of Credentialing
Practice location
2500 Rocky Mountain Ave Ste 340
Loveland, CO 80538-9004
Phone: (970) 829-5535
Fax: (970) 221-1000
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.