Organization
FRONT RANGE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD J REEDY D.O. (OWNER)
(719) 262-0852
Entity
Organization
Contact information
Practice address
3260 E WOODMEN RD, SUITE 210, COLORADO SPRINGS, CO 80920-3587
(719) 262-0852
(719) 262-0853
Mailing address
3260 E WOODMEN RD, SUITE 210, COLORADO SPRINGS, CO 80920-3587
(719) 262-0852
(719) 262-0853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40494
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40494
STATE LICENSE
CO
Enumeration date
05/16/2007
Last updated
08/13/2007
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