FT LUPTON MEDICAL TEAM PC

FORT LUPTON, CO
NPI1942382023
Entity TypeOrganization
Authorized ContactSELWYN MARTIN SPRAY
President
303-857-1007
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  17794)
Enumeration Date2006-10-19
Last Update Date2008-06-27
Business Address
FT LUPTON MEDICAL TEAM PC
308 DENVER AVE
FORT LUPTON, CO 80621
Phone number: 303-857-1007
Mailing Address
FT LUPTON MEDICAL TEAM PC
308 DENVER AVE
FORT LUPTON, CO 80621-1822
Phone number: 303-857-1007
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