Organization
COLORADO SPINE AND PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN AL TAMIMI M.D. (PRESIDENT)
(303) 248-7220
Entity
Organization
Contact information
Practice address
7720 S BROADWAY, SUITE 590, LITTLETON, CO 80122-2632
(303) 248-7220
(303) 248-7221
Mailing address
7720 S BROADWAY, SUITE 590, LITTLETON, CO 80122-2632
(303) 248-7220
(303) 248-7221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44358
CO
208VP0000X
Pain Medicine Physician
44358
CO
208VP0014X
Interventional Pain Medicine Physician
Primary
44358
CO
Other
Enumeration date
10/09/2007
Last updated
03/29/2010
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