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Organization
HIGHLANDS PAIN MANAGEMENT
Active
Organization
HIGHLANDS PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE JOHNSON DC MS-REHAB MS-NUTRI (OWNER)
(720) 515-8002
Entity
Organization
Contact information
Practice address
5950 S WILLOW DR STE 200, GREENWOOD VILLAGE, CO 80111-5144
(720) 515-8002
(303) 741-2676
Mailing address
5950 S WILLOW DR STE 200, GREENWOOD VILLAGE, CO 80111-5144
(720) 515-8002
(303) 741-2676
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
CHR.0006922
CO
261QU0200X
Urgent Care Clinic/Center
CHR.0006922
CO
273Y00000X
Rehabilitation Hospital Unit
Primary
CHR.0006922
CO
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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