Organization · Type 2 NPI
Front Range Clinic Inc.
Addiction Medicine (Family Medicine) Physician · Longmont, CO
NPI number
1104342443
Active
Practice location
1308 Vivian St
Longmont, CO 80501-3217
Mailing address
1040 E Elizabeth St Ste C
Fort Collins, CO 80524-3952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 0054001 (CO) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 0054001 (CO) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
5 other providers at this address
- Haleh Nekoorad-Long,m.d.,p.c.Specialist Longmont, CO NPI 1609047430
- Rocky Mountain Clinics LLCAddiction Medicine (Family Medicine) Physician Longmont, CO NPI 1578289518
- Mark Edward Babcock, L.C.S.W.Clinical Social Worker Longmont, CO NPI 1508984709
- Samantha Gehring, FNP-CNurse Practitioner Longmont, CO NPI 1386205888
- Susan Graham, PAPhysician Assistant Longmont, CO NPI 1043307192
Other addiction medicine (family medicine) physician providers in Longmont
About NPI 1104342443
Front Range Clinic Inc.'s National Provider Identifier is 1104342443, issued on Aug 18, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Longmont, CO. The record was last updated on Dec 17, 2020.