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Organization
COLORADO PAIN PRACTICE, PLLC
Active
Organization
COLORADO PAIN PRACTICE, PLLC
Active
Other names
Colorado Pain Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MOGHIM MD (OWNER)
(303) 468-7246
Entity
Organization
Contact information
Practice address
1647 E 18TH ST, LOVELAND, CO 80538-4209
(970) 473-7900
(970) 473-7901
Mailing address
2696 S COLORADO BLVD STE 240, DENVER, CO 80222-5948
(303) 468-7246
(303) 277-0714
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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