Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Poudre Valley Medical Group, LLC

Organization Radiation Oncology Physician · NPI 1104439322

Poudre Valley Medical Group, LLC provides Radiation Oncology Physician services in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 Bob Peters Grv Ste 100
Colorado Springs, CO 80909-4533
Phone: (719) 365-6800
Fax: (719) 365-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1104439322
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 365-6800
Other names Uchealth Medical Group; Uchealth Radiation Oncology - Memorial Central
NPI enumeratedAugust 27, 2020
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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