Ft Lupton Medical Team PC
NPI #1942382023 in Fort Lupton, Colorado
Provider Information
- NPI Number
- 1942382023
- Entity Type
- Organization
- Organization Name
- Ft Lupton Medical Team PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 308 DENVER AVE
- City
- Fort Lupton
- State
- Colorado
- ZIP Code
- 80621
- Phone
- (303) 857-1007
Authorized Official
- Name
- SELWYN MARTIN SPRAY, MD
- Title
- PRESIDENT
- Phone
- (303) 857-1007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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