NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104439322 |   |   |   | POUDRE VALLEY MEDICAL GROUP, LLC | 2695 ROCKY MOUNTAIN AVE STE 150 | LOVELAND | CO | 805389071 |
1700490455 |   |   |   | POUDRE VALLEY MEDICAL GROUP, LLC | 2695 ROCKY MOUNTAIN AVE STE 150 | LOVELAND | CO | 805389071 |
1407261290 | DOKE | KALEIGH |   |   | 525 BOB PETERS GRV | COLORADO SPRINGS | CO | 809094533 |
1093005738 | WAXWEILER | TIMOTHY | VICTOR |   | 525 BOB PETERS GRV | COLORADO SPRINGS | CO | 809500001 |