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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
ROBERT MOGHIM (CEO)
(303) 282-1520
Entity
Organization
Contact information
Practice address
12596 W BAYAUD AVE STE 350, LAKEWOOD, CO 80228-2019
(303) 468-7246
(303) 277-0714
Mailing address
1355 SOUTH COLORADO BOULEVARD, SUITE 700, DENVER, CO 80222
(303) 282-1520
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
01/03/2022
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