Organization
FRONT RANGE ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J CUMSILLE BOCPD (OWNER)
(303) 995-8000
Entity
Organization
Contact information
Practice address
255 UNION BLVD, SUITE 380, LAKEWOOD, CO 80228-1810
(303) 995-8000
Mailing address
255 UNION BLVD, SUITE 380, LAKEWOOD, CO 80228-1810
(303) 995-8000
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
201460000509
CO
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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