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

Poudre Valley Medical Group, LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1396531745

Poudre Valley Medical Group, LLC provides Plastic and Reconstructive Surgery Physician services in Pueblo, Colorado. Registered with an NPI since 2025.

In the registry since
2025
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

1600 N Grand Ave Ste 230
Pueblo, CO 81003-2731
Phone: (719) 542-2470
Fax: (719) 542-2465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1396531745
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 542-2470
Other names Uchealth Medical Group; Uchealth Plastic And Reconstructive Surgery Clinic - Parkview Mob
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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