Healthcare Provider Details

I. General information

NPI: 1336952399
Provider Name (Legal Business Name): FRONT RANGE WOUND CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S GALENA ST STE 200
CENTENNIAL CO
80112-3630
US

IV. Provider business mailing address

6825 S GALENA ST STE 200
CENTENNIAL CO
80112-3630
US

V. Phone/Fax

Practice location:
  • Phone: 303-741-0990
  • Fax:
Mailing address:
  • Phone: 303-741-0990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCA RAYOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-741-0990