Organization · Type 2 NPI
Front Range Clinic Inc.
Addiction Medicine (Family Medicine) Physician · Grand Junction, CO
NPI number
1831785302
Active
Practice location
755 North Ave Ste B-C
Grand Junction, CO 81501-3152
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 1831785302
Front Range Clinic Inc.'s National Provider Identifier is 1831785302, issued on Dec 17, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Grand Junction, CO. The record was last updated on Dec 17, 2020.