FRONT RANGE CLINIC INC. NPI 1356860803

NPI Information

FRONT RANGE CLINIC INC. is an addiction medicine family medicine in Lakewood, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. FRONT RANGE CLINIC INC. NPI is 1356860803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1410 VANCE ST STE 211
LAKEWOOD, CO
ZIP 80214-435
Phone: (720) 597-5576
Fax: (970) 639-4475

The provider's authorized official is Clark Mccoy .
The authorized official title is President and has the following contact phone number (352) 214-7180.

The CLIA number assigned to this NPI record is 06D2140676 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2017 and was last updated on 2/2/2021.

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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