Organization
FRONT RANGE CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK STEVEN MCCOY MD (PRESIDENT)
(970) 493-9193
Entity
Organization
Contact information
Practice address
1040 E ELIZABETH ST STE C, FORT COLLINS, CO 80524-3952
(970) 493-9193
(970) 639-4475
Mailing address
1040 E ELIZABETH ST STE C, FORT COLLINS, CO 80524-3952
(970) 493-9193
(970) 639-4475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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