Organization
COLORADO PAIN & REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WEBERG (EXECUTIVE DIRECTOR)
(303) 423-8334
Entity
Organization
Contact information
Practice address
4835 W 10TH ST, STE B, GREELEY, CO 80634-2047
(970) 356-4066
Mailing address
4835 W 10TH ST, STE B, GREELEY, CO 80634-2047
(970) 356-4066
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18859020
—
CO
Enumeration date
06/29/2006
Last updated
08/22/2020
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