| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1720748817 | POUDRE VALLEY MEDICAL GROUP, LLC | 2695 ROCKY MOUNTAIN AVE STE 150 | LOVELAND | CO | 805389071 | |||
| 1104078377 | RAHARDJA | MARIA | S | 2695 ROCKY MOUNTAIN AVE STE 150 | LOVELAND | CO | 805389071 |