| NPI | 1255944146 |
|---|---|
| Doing Business As | RED LODGE CLINIC - FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-11-07 |