Provider Demographics
NPI:1346822400
Name:MOUNTAIN VIEW PAIN SPECIALISTS
Entity Type:Organization
Organization Name:MOUNTAIN VIEW PAIN SPECIALISTS
Other - Org Name:MOUNTAIN VIEW PAIN CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-598-5147
Mailing Address - Street 1:5445 DTC PKWY STE 1130
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3038
Mailing Address - Country:US
Mailing Address - Phone:720-749-5599
Mailing Address - Fax:720-925-5897
Practice Address - Street 1:10375 PARK MEADOWS DR STE 270
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6760
Practice Address - Country:US
Practice Address - Phone:303-351-5995
Practice Address - Fax:720-925-5897
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN VIEW PAIN SPECIALISTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-27
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty