Organization
FRONT RANGE GASTROENTEROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ZAVALA (OFFICE MANAGER)
(303) 776-6115
Entity
Organization
Contact information
Practice address
205 S MAIN ST, SUITE A, LONGMONT, CO 80501-1716
(303) 776-6115
Mailing address
205 S MAIN ST, SUITE A, LONGMONT, CO 80501-1716
(303) 776-6115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015855
—
CO
Enumeration date
06/20/2006
Last updated
07/24/2017
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