NPI 1508285776
Colorado Pain Practice, PLLC
Practice location
- Address
- 12596 W Bayaud Ave STE 350, Lakewood, CO 80228-2019
- Phone
- (303) 468-7246
- Fax
- (303) 277-0714
- Mailing address
- 1355 South Colorado Boulevard Suite 700, Denver, CO 80222
Authorised official
- Name
- Robert Moghim
- Title
- Ceo
- Phone
- (303) 282-1520
Registered specialties
Pain Medicine (Anesthesiology) Physician
Primary
Registry record
- NPI
- 1508285776
- Entity type
- Organization
- NPI issued
- 15 Apr 2014
- Record last updated
- 3 Jan 2022
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.