Provider Demographics
NPI:1821289331
Name:DENVER PAIN, PC
Entity Type:Organization
Organization Name:DENVER PAIN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPHAR
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:303-846-3010
Mailing Address - Street 1:4600 S ULSTER ST
Mailing Address - Street 2:STE 700
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2848
Mailing Address - Country:US
Mailing Address - Phone:303-846-3005
Mailing Address - Fax:
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:STE 125
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-846-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty