Front Range Integrated Clinic

NPI #1871039784 in Golden, Colorado

Provider Information

NPI Number: 1871039784
Entity Type: Organization
Organization Name: Front Range Integrated Clinic
Primary Specialty: Specialist
Enumeration Date: Jan 17, 2017
Last Updated: Jan 17, 2017

Practice Location

Address: 400 INDIANA ST STE 320
City: Golden
State: Colorado
ZIP Code: 80401-5033
Phone: (303) 641-2254

Authorized Official

Name: MATT MILLER
Title: PARTNER
Phone: (303) 641-2254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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