Organization · Type 2 NPI

Front Range Clinic Inc.

Addiction Medicine (Family Medicine) Physician · Pueblo, CO

NPI number 1063008522 Active

Practice location

1249 E Routt Ave
Pueblo, CO 81004-2908

Call (720) 808-0051 Map

Mailing address

1120 E Elizabeth St Ste G2
Fort Collins, CO 80524-4044

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XNone listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

Another provider at this address

Other addiction medicine (family medicine) physician providers in Pueblo

See all in Pueblo →

About NPI 1063008522

Front Range Clinic Inc.'s National Provider Identifier is 1063008522, issued on Dec 17, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Pueblo, CO. The record was last updated on Dec 17, 2020.