Organization
APPLEWOOD PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JACKSON (CLINIC DIRECTOR)
(303) 237-9617
Entity
Organization
Contact information
Practice address
12505 W 32ND AVE, WHEAT RIDGE, CO 80033-5254
(303) 237-9617
Mailing address
12505 W 32ND AVE, WHEAT RIDGE, CO 80033-5254
(303) 237-9617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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