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Poudre Valley Medical Group, Llc
Clinic/Center in Lamar, Colorado
NPI 1619585312

Poudre Valley Medical Group, Llc is a Clinic/Center based in Loveland, CO. Poudre Valley Medical Group, Llc practices in Lamar, CO. The NPI Number for Poudre Valley Medical Group, Llc is 1619585312 and holds a License No. (Colorado).

The current practice location address for Poudre Valley Medical Group, Llc is 403 Kendall Dr, Lamar, CO and can be reached out via phone at 719-336-6790 and via fax at 719-336-7026.

Location: 403 Kendall Dr, Lamar, CO, 80538-9071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619585312
Provider Name
Poudre Valley Medical Group, Llc
Credential
Provider Entity Type
Organization
Address
403 Kendall Dr, Lamar, CO, 80538-9071
Phone Number
719-336-6790
Fax Number
719-336-7026
Provider Enumeration Date
07/20/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
403 Kendall Dr
City
Lamar
State
Colorado
Zip
81052-3953
Phone Number
719-336-6790
Fax Number
719-336-7026
person
Provider Business Mailing Address Details
Address
403 Kendall Dr
City
Lamar
State
Colorado
Zip
81052-3953
Phone Number
719-336-6790
Fax Number
719-336-7026
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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