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 General Practice Physician · NPI 1114598737

Poudre Valley Medical Group, LLC provides General Practice Physician services in Colorado Springs, Colorado. Registered with an NPI since 2021.

In the registry since
2021
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

1400 E Boulder St Ste 2410
Colorado Springs, CO 80909-5533
Phone: (719) 365-6525
Fax: (719) 365-5831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1114598737
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 365-6525
Other names Uchealth Medical Group
NPI enumeratedJuly 6, 2021
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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