Organization
FRONT RANGE PSYCHIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DANA MARTIN M.D. (PARTNER)
(719) 584-4767
Entity
Organization
Contact information
Practice address
56 CLUB MANOR DR, 100, PUEBLO, CO 81008-1679
(719) 584-4767
(719) 584-4808
Mailing address
56 CLUB MANOR DR, 100, PUEBLO, CO 81008-1679
(719) 584-4767
(719) 584-4808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56826338
—
CO
Enumeration date
11/21/2006
Last updated
09/27/2013
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