COLORADO FUNCTIONAL MEDICINE

WOODLAND PARK, CO
NPI1346569159
Entity TypeOrganization
Authorized ContactRANDOLPH LEE JAMES
President
719-686-7776
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  45978)
Enumeration Date2010-05-19
Last Update Date2012-01-26
Business Address
COLORADO FUNCTIONAL MEDICINE
403 S BALDWIN ST
WOODLAND PARK, CO 80863-3154
Phone number: 713-686-7776
Mailing Address
COLORADO FUNCTIONAL MEDICINE
403 S BALDWIN ST
WOODLAND PARK, CO 80863-3154
Phone number: 713-686-7776
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