| Physical Medicine Of The Rockies Llc | |
|
13111 E Briarwood Ave Ste 100 Centennial CO 80112-3925 | |
| (719) 465-0069 | |
| Not Available |
| Full Name | Physical Medicine Of The Rockies Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 13111 E Briarwood Ave Ste 100, Centennial, Colorado |
| Authorized Official Name and Position | Scott J Primack (PRESIDENT) |
| Authorized Official Contact | 7194576001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Medicine Of The Rockies Llc 9025 Grant St Ste 200 Thornton CO 80229-4347 Ph: (719) 465-0069 | Physical Medicine Of The Rockies Llc 13111 E Briarwood Ave Ste 100 Centennial CO 80112-3925 Ph: (719) 465-0069 |
| NPI Number | 1477188274 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477188274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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