MEDICARE: FRONT RANGE PAIN MEDICINE LLC

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
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1881864148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONT RANGE PAIN MEDICINE LLC

Provider Business Mailing Address
First Line	:	3744 S TIMBERLINE RD
Second Line	:	SUITE 102
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4334
Country	:	US
Telephone Number	:	970-495-0506
Fax Number	:	970-495-0485

Provider Business Practice Location Address
First Line	:	3744 S TIMBERLINE RD
Second Line	:	SUITE 102
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4334
Country	:	US
Telephone Number	:	970-495-0506
Fax Number	:	970-495-0485

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GEORGE EDWARD GIRARDI
Credential	:	MD
Telephone Number	:	970-495-0506

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	03/04/2019

Similar Medicare Providers

1346238136 — DR. GEORGE EDWARD GIRARDI M.D.
Practice Location Address:

3744 S. TIMBERLINE RD , SUITE 102
FORT COLLINS, CO
80525-4334

Practice Phone: 970-495-0506
Practice Fax: 970-495-0485

1134341209 — DEBRA DENNIS PA-C
Practice Location Address:

3744 S TIMBERLINE RD , SUITE 102
FORT COLLINS, CO
80525-4334

Practice Phone: 970-495-0506
Practice Fax: 970-495-0485

1154735827 — JENNIFER HARRISON FNP, BS, BSN, RN
Practice Location Address:

3744 S TIMBERLINE RD STE 102
FORT COLLINS, CO
80525-4334

Practice Phone: 970-495-0506
Practice Fax: 970-049-5048

1326598210 — SAMANTHA DESENBERG NP
Practice Location Address:

3744 S TIMBERLINE RD STE 102
FORT COLLINS, CO
80525-4334

Practice Phone: 970-495-0506
Practice Fax:

1053959528 — COLORADO PHYSICAL THERAPY SPECIALISTS PLLC
Practice Location Address:

3744 S TIMBERLINE RD STE 103
FORT COLLINS, CO
80525-4334

Practice Phone: 970-988-9538
Practice Fax:

1720600018 — POUDRE VALLEY MEDICAL GROUP, LLC
Practice Location Address:

3744 S TIMBERLINE RD STE 102
FORT COLLINS, CO
80525-4334

Practice Phone: 970-495-0506
Practice Fax: 970-495-0485

Directions to “FRONT RANGE PAIN MEDICINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.