Organization
COLORADO SPRINGS INTERVENTIONAL PAIN MANAGEMENT PC
Active
Other names
INTERVENTIONAL PAIN MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA CISCO RN (PRACTICE MANAGER)
(719) 228-9440
Entity
Organization
Contact information
Practice address
3030 N CIRCLE DR, 210, COLORADO SPRINGS, CO 80909-1177
(719) 228-9440
(719) 228-9061
Mailing address
3030 N CIRCLE DR, 210, COLORADO SPRINGS, CO 80909-1177
(719) 228-9440
(719) 228-9061
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23261
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C473508
MEDICARE- GROUP
CO
01
—
LA646340
BC-BS-GROUP
CO
Enumeration date
12/11/2006
Last updated
02/16/2016
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