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POUDRE VALLEY MEDICAL GROUP LLC NPI 1497431597


NPI Information

NPI: 1497431597
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Other Name: UCHEALTH MEDICAL GROUP

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
3843 RIO VISTA DRIVE
SUITE 2200
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 364-4120
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POUDRE VALLEY MEDICAL GROUP, LLC is an otolaryngology in Colorado Springs, CO. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1497431597. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Uchealth Medical Group.

The provider's business location address is:

3843 RIO VISTA DRIVE
SUITE 2200
COLORADO SPRINGS, CO
ZIP 80917-381
Phone: (719) 364-4120
Fax: (719) 364-4121

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 364-4120.

The enumeration date for this NPI number is 6/23/2023 and was last updated on 12/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologistNo
2207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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