Organization
COLORADO PAIN MANAGEMENT &
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER N REUSSWIG M.D. (OFFICER)
(303) 422-7991
Entity
Organization
Contact information
Practice address
8451 PEARL ST, THORNTON, CO 80229-4804
(303) 227-6367
Mailing address
PO BOX 467, ARVADA, CO 80001-0467
(303) 422-7991
(303) 422-7994
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57488045
—
CO
Enumeration date
02/05/2007
Last updated
11/22/2010
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