Organization
ROCKY MOUNTAIN PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY D VILIMS MD (OWNER)
(866) 356-4040
Entity
Organization
Contact information
Practice address
419 S WASHINGTON ST, STE 201, CASPER, WY 82601-2951
(866) 356-4040
(303) 736-4147
Mailing address
3600 S YOSEMITE ST, STE 330, DENVER, CO 80237-1812
(303) 268-4040
(303) 736-4147
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
7671A
WY
208VP0014X
Interventional Pain Medicine Physician
Primary
7671A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06139001
BLUE CROSS BLUE SHIELD
WY
Enumeration date
05/03/2007
Last updated
10/03/2007
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