Front Range Clinic Inc. | |
1410 Vance St Ste 211 Lakewood CO 80214-5435 | |
(720) 597-5576 | |
(970) 639-4475 |
Full Name | Front Range Clinic Inc. |
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Speciality | Family Medicine - Addiction Medicine |
Location | 1410 Vance St Ste 211, Lakewood, Colorado |
Authorized Official Name and Position | Clark Mccoy (PRESIDENT) |
Authorized Official Contact | 3522147180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Front Range Clinic Inc. 1040 E Elizabeth St Ste C Fort Collins CO 80524-3952 Ph: (970) 493-9193 | Front Range Clinic Inc. 1410 Vance St Ste 211 Lakewood CO 80214-5435 Ph: (720) 597-5576 |
NPI Number | 1356860803 |
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Provider Enumeration Date | 09/15/2017 |
Last Update Date | 02/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356860803 | NPI | - | NPPES |
1598135451 | Medicaid | CO |
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