| NPI | 1881218519 |
|---|---|
| Doing Business As | FORT LUPTON CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2023-09-27 |