| NPI | 1154846939 |
|---|---|
| Former Legal Business Name | COLORADO PAIN PRACTICE, PLLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT MOGHIM Physician Owner 303-888-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |