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

Poudre Valley Medical Group, LLC

Organization Dermatology Physician · NPI 1760338479

Poudre Valley Medical Group, LLC provides Dermatology Physician services in Longmont, Colorado. Registered with an NPI since 2026.

In the registry since
2026
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

1551 Professional Ln Unit 280
Longmont, CO 80501-6965
Phone: (720) 494-3118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1760338479
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 494-3118
Other names Uchealth Medical Group; Uchealth Dermatology Clinic - Longmont
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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