# COLORADO INSTITUTE FOR PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John M Tyler Jr MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447643127
- **Authorized official:** DR. JOHN MASON TYLER JR. M.D. (PHYSICIAN)
- **Authorized official phone:** (719) 599-5753

## Contact information

- **Practice address:** 3910 S CAREFREE CIR STE C, COLORADO SPRINGS, CO 80917-3053
- **Practice address phone:** (719) 599-5753
- **Practice address fax:** (719) 599-5817
- **Mailing address:** 3910 S CAREFREE CIR STE C, COLORADO SPRINGS, CO 80917-3053
- **Mailing address phone:** (719) 599-5753
- **Mailing address fax:** (719) 599-5817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 30232 | CO | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 30232 | CO | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 12/19/2016