Provider Demographics
NPI:1588779383
Name:FRONT RANGE CENTER FOR BRAIN & SPINE SURGERY, PC.
Entity type:Organization
Organization Name:FRONT RANGE CENTER FOR BRAIN & SPINE SURGERY, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-493-1292
Mailing Address - Street 1:1313 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4352
Mailing Address - Country:US
Mailing Address - Phone:970-493-1292
Mailing Address - Fax:970-493-1210
Practice Address - Street 1:1313 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4352
Practice Address - Country:US
Practice Address - Phone:970-493-1292
Practice Address - Fax:970-493-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty