Front Range Clinic Inc. | |
1249 E Routt Ave Pueblo CO 81004-2908 | |
(720) 808-0051 | |
Not Available |
Full Name | Front Range Clinic Inc. |
---|---|
Speciality | Family Medicine - Addiction Medicine |
Location | 1249 E Routt Ave, Pueblo, Colorado |
Authorized Official Name and Position | Clark Steven Mccoy (PRESIDENT) |
Authorized Official Contact | 9704939193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Front Range Clinic Inc. 1120 E Elizabeth St Ste G2 Fort Collins CO 80524-4044 Ph: (970) 493-9193 | Front Range Clinic Inc. 1249 E Routt Ave Pueblo CO 81004-2908 Ph: (720) 808-0051 |
NPI Number | 1063008522 |
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Provider Enumeration Date | 12/17/2020 |
Last Update Date | 12/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063008522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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