Organization
MOUNTAIN MEDICAL INJURAY AND PAIN PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY SMITH (MANAGING MEMBER)
(303) 521-7395
Entity
Organization
Contact information
Practice address
5534 SALVIA CT, GOLDEN, CO 80403-1118
(303) 886-4300
Mailing address
5534 SALVIA CT, GOLDEN, CO 80403-1118
(303) 886-4300
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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