HomeNPI Verification

NPI Verification

National Provider Identifier: 1194280263

Poudre Valley Medical Group, LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (7)

Dermatology

Code: 207N00000X

Family Medicine

Code: 207Q00000X

Primary

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Obstetrics & Gynecology

Code: 207V00000X

Pediatrics

Code: 208000000X

Surgery

Code: 208600000X

Practice Address

11083 COLORADO BLVD

FIRESTONE, CO 805045873

Phone: 303-833-8880

NPI Enumeration Date

February 4, 2019

NPI Number

1194280263

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry