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NPI Code Detail

MEDICARE: MOUNTAIN VIEW PAIN SPECIALISTS

MEDICARE: MOUNTAIN VIEW PAIN SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1346822400
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN VIEW PAIN SPECIALISTS
Provider Business Mailing Address
First Line : 5445 DTC PKWY STE 1130
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3038
Country : US
Telephone Number : 720-749-5599
Fax Number : 720-925-5897
Provider Business Practice Location Address
First Line : 10807 NEW ALLEGIANCE DR STE 160
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3805
Country : US
Telephone Number : 719-249-3547
Fax Number : 720-925-5897
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : EMILY PARTIDA
Credential :
Telephone Number : 303-598-5147
Provider Enumeration Date : 04/27/2021
Last Update Date : 12/19/2024

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Directions to “MOUNTAIN VIEW PAIN SPECIALISTS ” Practice Location

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