# 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:** 1508285776
- **Authorized official:** ROBERT MOGHIM (CEO)
- **Authorized official phone:** (303) 282-1520

## Contact information

- **Practice address:** 12596 W BAYAUD AVE STE 350, LAKEWOOD, CO 80228-2019
- **Practice address phone:** (303) 468-7246
- **Practice address fax:** (303) 277-0714
- **Mailing address:** 1355 SOUTH COLORADO BOULEVARD, SUITE 700, DENVER, CO 80222
- **Mailing address phone:** (303) 282-1520

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 01/03/2022