# COLORADO PAIN PRACTICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Pain Practice, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154846939
- **Authorized official:** DR. ROBERT MOGHIM MD (PHYSICIAN OWNER)
- **Authorized official phone:** (303) 888-2219

## Contact information

- **Practice address:** 2696 S COLORADO BLVD STE 100, DENVER, CO 80222
- **Practice address phone:** (303) 963-9182
- **Mailing address:** 1355 S COLORADO BLVD STE 700, DENVER, CO 80222-3325
- **Mailing address phone:** (303) 963-9182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 07/21/2022