Type 2 organization · NPI 1013539113
POUDRE VALLEY MEDICAL GROUP, LLC
207RC0000X · TRINIDAD, CO
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207RC0000X | 207RC0000X | Primary |
| 207RH0003X | 207RH0003X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s