Healthcare Provider Details

I. General information

NPI: 1720362866
Provider Name (Legal Business Name): COMPREHENSIVE PAIN SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INDIANA ST STE 320
GOLDEN CO
80401
US

IV. Provider business mailing address

400 INDIANA ST STE 320
GOLDEN CO
80401-5033
US

V. Phone/Fax

Practice location:
  • Phone: 303-469-3182
  • Fax: 303-469-4693
Mailing address:
  • Phone: 303-469-3182
  • Fax: 303-469-4693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number49450
License Number StateCO

VIII. Authorized Official

Name: DANIEL ALAN DRENNAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 801-652-3193