Healthcare Provider Details

I. General information

NPI: 1215219613
Provider Name (Legal Business Name): DENVER PAIN RELIEF CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E HAMPDEN AVE SUITE 500
ENGLEWOOD CO
80113-3781
US

IV. Provider business mailing address

601 E HAMPDEN AVE SUITE 500
ENGLEWOOD CO
80113-3781
US

V. Phone/Fax

Practice location:
  • Phone: 303-789-5242
  • Fax: 303-789-5264
Mailing address:
  • Phone: 303-789-5242
  • Fax: 303-789-5264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM MILO
Title or Position: VP
Credential:
Phone: 813-569-6500