NPI 1487289096
Colorado Pain Practice, LLC
Practice location
- Address
- 355 Union Blvd STE 304, Lakewood, CO 80228-6516
- Phone
- (303) 984-4826
- Fax
- (303) 277-0714
- Mailing address
- 1355 S Colorado Blvd STE 700, Denver, CO 80222-3325
Authorised official
- Name
- Robert Z Moghim
- Title
- Owner/Physician
- Phone
- (303) 888-2219
Registered specialties (2)
Pain Medicine (Anesthesiology) Physician
Primary
Physical Therapy Clinic/Center
Registry record
- NPI
- 1487289096
- Entity type
- Organization
- NPI issued
- 4 Mar 2020
- Record last updated
- 11 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.