COLORADO FUNCTIONAL MEDICINE NPI 1346569159

NPI Information

COLORADO FUNCTIONAL MEDICINE is a family medicine in Woodland Park, CO. The provider is 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. COLORADO FUNCTIONAL MEDICINE NPI is 1346569159. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As True Life Medicine.

The provider's business location address is:

403 S BALDWIN ST
WOODLAND PARK, CO
ZIP 80863-154
Phone: (713) 686-7776
Fax: (719) 355-1926

The provider's authorized official is Randolph Lee James .
The authorized official title is President and has the following contact phone number (719) 686-7776.

The CLIA number assigned to this NPI record is 06D2009467 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 1/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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