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Organization
COLORADO PAIN PRACTICE, PLLC
Active
Organization
COLORADO PAIN PRACTICE, PLLC
Active
Other names
Colorado Pain Practice, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MOGHIM MD (PHYSICIAN OWNER)
(303) 888-2219
Entity
Organization
Contact information
Practice address
2696 S COLORADO BLVD STE 100, DENVER, CO 80222
(303) 963-9182
Mailing address
1355 S COLORADO BLVD STE 700, DENVER, CO 80222-3325
(303) 963-9182
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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