Organization · Type 2 NPI
Front Range Clinic Inc.
Addiction Medicine (Family Medicine) Physician · Boulder, CO
NPI number
1760078224
Active
Practice location
4720 Table Mesa Dr Ste B100
Boulder, CO 80305-5595
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.
Other addiction medicine (family medicine) physician providers in Boulder
About NPI 1760078224
Front Range Clinic Inc.'s National Provider Identifier is 1760078224, issued on Dec 17, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Boulder, CO. The record was last updated on Dec 17, 2020.