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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

POUDRE VALLEY MEDICAL GROUP, LLC is a Psychiatry organization located in PUEBLO, Colorado. NPI 1063209534 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · PUEBLO, CO

Registration Details

NPI Number
1063209534
Provider Type
Organization
NPI Issued
Apr 21, 2025 (1.3513681738239 yrs)
Last Updated
Apr 21, 2025

Practice Information

Address
56 CLUB MANOR DR STE 100
PUEBLO, CO, 810081685
Browse CO providers · Browse ZIP 81008
Phone
7195844767
Fax
7195957906
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
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.