# COLORADO FUNCTIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLORADO FUNCTIONAL MEDICINE
- **Other names:** True Life Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346569159
- **Legal business name:** COLORADO FUNCTIONAL MEDICINE
- **Authorized official:** DR. RANDOLPH LEE JAMES MD (PRESIDENT)
- **Authorized official phone:** (719) 686-7776

## Contact information

- **Practice address:** 403 S BALDWIN ST, WOODLAND PARK, CO 80863-3154
- **Practice address phone:** (713) 686-7776
- **Practice address fax:** (719) 355-1926
- **Mailing address:** 403 S BALDWIN ST, WOODLAND PARK, CO 80863-3154
- **Mailing address phone:** (713) 686-7776
- **Mailing address fax:** (719) 355-1927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45978 | CO | Yes |

## Other

- **Enumeration date:** 05/19/2010
- **Last updated:** 01/26/2012