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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