Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI Number | 1669530192 |
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| LBN Legal business name | COLORADO DEPARTMENT OF CORRECTIONS | ||||
| Authorized official | RANDOLPH MAUL - (CHIEF MEDICAL OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/05/2006 | ||||
| Last updated | 06/24/2025 - About 12 months ago | ||||
| Identifiers |
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