Healthcare Provider Details

I. General information

NPI: 1447190590
Provider Name (Legal Business Name): FRONT RANGE ADVANCED WOUND CARE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15890 LITTLE BLUESTEM RD
MONUMENT CO
80132-7512
US

IV. Provider business mailing address

15890 LITTLE BLUESTEM RD
MONUMENT CO
80132-7512
US

V. Phone/Fax

Practice location:
  • Phone: 720-839-0301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAXIMILIAN BEKHIT
Title or Position: OWNER
Credential: DO
Phone: 720-839-0301