Provider Demographics
NPI:1356416093
Name:ROCKY MOUNTAIN PAIN SOLUTIONS LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN PAIN SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HALUK
Authorized Official - Middle Name:
Authorized Official - Last Name:YILMAZTURK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-274-0341
Mailing Address - Street 1:255 UNION BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1877
Mailing Address - Country:US
Mailing Address - Phone:303-456-8868
Mailing Address - Fax:720-274-0367
Practice Address - Street 1:255 UNION BLVD STE 350
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1877
Practice Address - Country:US
Practice Address - Phone:303-456-8868
Practice Address - Fax:720-274-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04012613Medicaid
COCG3208Medicare PIN