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Organization
MOUNTAIN MEDICAL INJURAY AND PAIN PROFESSIONAL
Active
Organization
MOUNTAIN MEDICAL INJURAY AND PAIN PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY SMITH (MANAGING MEMBER)
(303) 521-7395
Entity
Organization
Contact information
Practice address
5534 SALVIA CT, GOLDEN, CO 80403-1118
(303) 886-4300
Mailing address
5534 SALVIA CT, GOLDEN, CO 80403-1118
(303) 886-4300
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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