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NPI Verification

National Provider Identifier: 1972105583

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

Internal Medicine, Rheumatology

Code: 207RR0500X

Practice Address

2121 E HARMONY RD UNIT 230

FORT COLLINS, CO 805283401

Phone: 970-224-3636

NPI Enumeration Date

November 10, 2020

NPI Number

1972105583

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