# FRONT RANGE PAIN MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992823645
- **Authorized official:** DR. THOMAS BOYLAN DO (OWNER)
- **Authorized official phone:** (970) 495-0506

## Contact information

- **Practice address:** 3744 S TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4333
- **Practice address phone:** (970) 495-0506
- **Practice address fax:** (970) 484-4514
- **Mailing address:** 709 BOULDER CIR, FORT COLLINS, CO 80524-9252
- **Mailing address phone:** (970) 498-0511
- **Mailing address fax:** (970) 484-4514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 28646 | CO | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020