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Organization
FRONT RANGE GERIATRIC MEDICINE LLC
Active
Organization
FRONT RANGE GERIATRIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA M DORE (BILLING MANAGER)
(303) 660-6561
Entity
Organization
Contact information
Practice address
802 W DRAKE RD, SUITE 101, FORT COLLINS, CO 80526-5558
(970) 482-0198
Mailing address
802 W DRAKE RD, SUITE 101, FORT COLLINS, CO 80526-5558
(970) 482-0198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
01/12/2017
Last updated
01/14/2022
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