FRONT RANGE CLINIC INC. NPI 1760078224

NPI Information

FRONT RANGE CLINIC INC. is an addiction medicine family medicine in Boulder, CO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. FRONT RANGE CLINIC INC. NPI is 1760078224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4720 TABLE MESA DR STE B100
BOULDER, CO
ZIP 80305-595
Phone: (720) 476-7957

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 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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