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Organization
PHYSICAL MEDICINE OF THE ROCKIES LLC
Active
Organization
PHYSICAL MEDICINE OF THE ROCKIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT J PRIMACK DO (PRESIDENT)
(719) 457-6001
Entity
Organization
Contact information
Practice address
13111 E BRIARWOOD AVE STE 100, CENTENNIAL, CO 80112-3925
(719) 465-0069
Mailing address
9025 GRANT ST STE 200, THORNTON, CO 80229-4347
(719) 465-0069
(720) 930-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
11/23/2022
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