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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

POUDRE VALLEY MEDICAL GROUP, LLC

Active Organization

Family Medicine · MONUMENT, CO

Registration Details

NPI Number
1033722376
Provider Type
Organization
NPI Issued
Aug 26, 2020 (5.6519041906447 yrs)
Last Updated
May 2, 2024

Practice Information

Address
15854 JACKSON CREEK PKWY UNIT 120
MONUMENT, CO, 801328663
Browse CO providers · Browse ZIP 80132
Phone
7193649930
Fax
7193649939
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.