Organization · Type 2 NPI

Colorado Functional Medicine

Family Medicine Physician · Woodland Park, CO

NPI number 1346569159 Active

Practice location

403 S Baldwin St
Woodland Park, CO 80863-3154

Fax (719) 355-1926

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	45978 (CO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Woodland Park

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NPI record

NPI: 1346569159
Entity type: Organization (Type 2)
Issued: May 19, 2010
Last updated: Jan 26, 2012
Status: Active
Subpart: Yes of Colorado Functional Medicine

Other names

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True Life Medicine · doing business as

Authorized official

Dr. Randolph Lee James, MD
President
(719) 686-7776

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346569159

Colorado Functional Medicine's National Provider Identifier is 1346569159, issued on May 19, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Woodland Park, CO. The record was last updated on Jan 26, 2012.