HomeNPI Verification

NPI Verification

National Provider Identifier: 1912514050

Poudre Valley Medical Group, LLC

Organization

Primary Specialty

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

All Specialties (3)

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Primary

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Psychiatry & Neurology, Neurology

Code: 2084N0400X

Practice Address

5818 N NEVADA AVE STE 225

COLORADO SPRINGS, CO 809183547

Phone: 719-365-7630

NPI Enumeration Date

September 23, 2020

NPI Number

1912514050

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