Organization
COLORADO PAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY D VILIMS MD (PHYSICIAN/OWNER)
(303) 268-4040
Entity
Organization
Contact information
Practice address
325 S TELLER ST, SUITE 240, LAKEWOOD, CO 80226-7388
(303) 268-4040
(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
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
665046
BLUE CROSS BLUE SHIELD
CO
01
—
C802448
MEDICARE ID-PIN
CO
Enumeration date
03/14/2006
Last updated
10/03/2007
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