| Front Range Geriatric Medicine LLC | |
|
802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 | |
| (970) 482-0198 | |
| Not Available |
| Full Name | Front Range Geriatric Medicine LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 802 W Drake Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Claudia M Dore (BILLING MANAGER) |
| Authorized Official Contact | 3036606561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Range Geriatric Medicine LLC 802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 Ph: (970) 482-0198 | Front Range Geriatric Medicine LLC 802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 Ph: (970) 482-0198 |
| NPI Number | 1194261362 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194261362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
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