Organization
INTERVENTIONAL PAIN MANAGEMENT SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. NELSON MD (PARTNER)
(970) 243-3385
Entity
Organization
Contact information
Practice address
710 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6123
(970) 255-7824
Mailing address
1120 WELLINGTON AVE, SUITE 206, GRAND JUNCTION, CO 81501-6129
(970) 243-3385
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31532331
—
CO
01
—
DB0814
RAILROAD MEDICARE
—
01
—
IN522688
BCBS
—
Enumeration date
08/28/2006
Last updated
09/04/2007
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