# COLORADO PAIN PRACTICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Pain Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740059401
- **Authorized official:** DR. ROBERT MOGHIM MD (OWNER)
- **Authorized official phone:** (303) 468-7246

## Contact information

- **Practice address:** 1647 E 18TH ST, LOVELAND, CO 80538-4209
- **Practice address phone:** (970) 473-7900
- **Practice address fax:** (970) 473-7901
- **Mailing address:** 2696 S COLORADO BLVD STE 240, DENVER, CO 80222-5948
- **Mailing address phone:** (303) 468-7246
- **Mailing address fax:** (303) 277-0714

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 12/22/2023