OrganizationActive
Front Range Clinic Inc.
NPI 1356860803 · Addiction Medicine (Family Medicine) Physician · Lakewood, CO
Provider details
- NPI number
- 1356860803
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Mccoy, President(352) 214-7180
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1410 Vance St Ste 211
Lakewood, CO 80214-5435
Phone: (720) 597-5576
Fax: (970) 639-4475
Approximate (ZIP-level) locationGet directions
Mailing address
1040 E Elizabeth St Ste C
Fort Collins, CO 80524-3952
Registry dates
- Enumerated
- 2017-09-15
- Last updated
- 2021-02-02
- Certified
- 2020-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.