FRONT RANGE CLINIC INC. NPI 1497341952

NPI Information

FRONT RANGE CLINIC INC. is an addiction medicine family medicine in Durango, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. FRONT RANGE CLINIC INC. NPI is 1497341952. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1485 FLORIDA RD STE 203C
DURANGO, CO
ZIP 81301-860
Phone: (970) 422-8007

The provider's authorized official is Clark Steven Mccoy .
The authorized official title is President and has the following contact phone number (970) 493-9193.

The CLIA number assigned to this NPI record is 06D2166136 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

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:

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