Organization
DENVER DIAGNOSTIC PAIN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE RENTZ (PRACTICE MANAGER)
(303) 801-8414
Entity
Organization
Contact information
Practice address
13402 W COAL MINE AVE, STE240, LITTLETON, CO 80127-5407
(720) 598-0805
(720) 606-2905
Mailing address
7800 E ORCHARD RD, STE 350, GREENWOOD VILLAGE, CO 80111-2583
(720) 598-0805
(720) 606-2905
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
51092
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83325778
—
CO
Enumeration date
01/31/2017
Last updated
03/30/2017
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