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NPI Code Detail

MEDICARE: FRONT RANGE FAMILY MEDICINE

MEDICARE: FRONT RANGE FAMILY MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician40494CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140494OTHERCOSTATE LICENSE

General Provider Information

NPI Number : 1528275906
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRONT RANGE FAMILY MEDICINE
Provider Business Mailing Address
First Line : 3260 E WOODMEN RD
Second Line : SUITE 210
City : COLORADO SPRINGS
State : CO
Zip : 80920-3587
Country : US
Telephone Number : 719-262-0852
Fax Number : 719-262-0853
Provider Business Practice Location Address
First Line : 3260 E WOODMEN RD
Second Line : SUITE 210
City : COLORADO SPRINGS
State : CO
Zip : 80920-3587
Country : US
Telephone Number : 719-262-0852
Fax Number : 719-262-0853
Authorized Official
Title or Position : OWNER
Name : DR. BRAD J REEDY
Credential : D.O.
Telephone Number : 719-262-0852
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/13/2007

Similar Medicare Providers

1164519443 — DR. BRADLEY J REEDY D.O.
Practice Location Address:
3260 E WOODMEN RD , SUITE 210
COLORADO SPRINGS, CO
80920-3587
Practice Phone: 719-262-0852
Practice Fax: 719-262-0853
1811026610 — MARCIA ELLIS NP
Practice Location Address:
3260 E WOODMEN RD STE 210
COLORADO SPRINGS, CO
80920-3587
Practice Phone: 719-262-0852
Practice Fax: 719-262-0853
1265249973 — SHELLY JOLES
Practice Location Address:
3260 E WOODMEN RD STE 210
COLORADO SPRINGS, CO
80920-3587
Practice Phone: 719-262-0852
Practice Fax: 719-262-0853
1164725859 — MRS. JULIE ANNE FEUERBACH MPT
Practice Location Address:
5795 LINGER WAY
COLORADO SPRINGS, CO
80919-3587
Practice Phone: 719-265-8146
Practice Fax:
1699328179 — AMANDA DODSON LCSW
Practice Location Address:
3230 E WOODMEN RD STE 110
COLORADO SPRINGS, CO
80920-8502
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Practice Fax:
1023804093 — JENNY COFFEY COUNSELING LLC
Practice Location Address:
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Practice Fax:

Directions to “FRONT RANGE FAMILY MEDICINE ” Practice Location

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