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NPI Verification

National Provider Identifier: 1245859842

Poudre Valley Medical Group, LLC

Organization

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Clinic/Center, Urgent Care

Code: 261QU0200X

Practice Address

5965 FIRESTONE BLVD BLDG B

FIRESTONE, CO 805046607

Phone: 720-652-7055

NPI Enumeration Date

April 14, 2020

NPI Number

1245859842

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