Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI Number | 1720978752 |
| LBN Legal business name | COLORADO DEPARTMENT OF CORRECTIONS |
| Authorized official | RANDOLPH MAUL - (CHIEF MEDICAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/09/2025 |
| Last updated | 07/14/2025 - About 11 months ago |
| Identifiers | n/a |
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COLORADO DEPARTMENT OF CORRECTIONS
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