Organization
FRONT RANGE PAIN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BOYLAN DO (OWNER)
(970) 495-0506
Entity
Organization
Contact information
Practice address
3744 S TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4333
(970) 495-0506
(970) 484-4514
Mailing address
709 BOULDER CIR, FORT COLLINS, CO 80524-9252
(970) 498-0511
(970) 484-4514
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
28646
CO
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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