| NPI | 1508285776 |
|---|---|
| Former Legal Business Name | COLORADO PAIN PRACTICE, PLLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT MOGHIM CEO 303-282-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-01-03 |