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Organization

LIBERTY PAIN INSTITUTE

Active
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Organization

LIBERTY PAIN INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGNES M FLAUM MD (OWNER/MEDICAL DIRECTOR)
(719) 219-2320
Entity
Organization

Contact information

Practice address
2020 N ACADEMY BLVD STE 155, COLORADO SPRINGS, CO 80909-1569
(719) 219-2320
(719) 231-2321
Mailing address
2020 N ACADEMY BLVD STE 155, COLORADO SPRINGS, CO 80909-1569
(719) 219-2320
(719) 231-2321

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
0056860
CO
261QP3300X
Pain Clinic/Center
Primary
0056860
CO

Other

Enumeration date
06/25/2018
Last updated
06/25/2018
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