Organization
LONGS PEAK PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E. JEFFREY DONNER (MANAGER)
(970) 290-5056
Entity
Organization
Contact information
Practice address
5285 MCWHINNEY BLVD, SUITE 145, LOVELAND, CO 80538-8863
(970) 290-5056
Mailing address
5285 MCWHINNEY BLVD, SUITE 145, LOVELAND, CO 80538-8863
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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