Colorado Department of Corrections
NPI #1720978752 in Canon City, Colorado
Provider Information
- NPI Number
- 1720978752
- Entity Type
- Organization
- Organization Name
- Colorado Department of Corrections
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF COLORADO
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Jul 9, 2025
- Last Updated
- Jul 14, 2025
Practice Location
- Address
- HIGHWAY 50 EAST & EVANS BLVD
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212
- Phone
- (719) 269-5374
Authorized Official
- Name
- DR. RANDOLPH MAUL, MD
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (719) 306-2821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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