Organization
COLORADO PAIN PRACTICE, LLC
Active
Other names
Colorado Pain Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT Z MOGHIM MD (OWNER/PHYSICIAN)
(303) 888-2219
Entity
Organization
Contact information
Practice address
355 UNION BLVD STE 304, LAKEWOOD, CO 80228-6516
(303) 984-4826
(303) 277-0714
Mailing address
1355 S COLORADO BLVD STE 700, DENVER, CO 80222-3325
(303) 277-0700
(303) 277-0714
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/04/2020
Last updated
06/11/2021
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