Organization · Type 2 NPI
Front Range Clinic Inc.
Addiction Medicine (Family Medicine) Physician · Denver, CO
NPI number
1508452061
Active
Practice location
1490 N Lafayette St Ste 407
Denver, CO 80218-2394
Mailing address
1120 E Elizabeth St Ste G2
Fort Collins, CO 80524-4044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1508452061
Front Range Clinic Inc.'s National Provider Identifier is 1508452061, issued on Dec 17, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Denver, CO. The record was last updated on Dec 17, 2020.