Provider Demographics
NPI:1457600231
Name:DENVER PAIN AND SPINE
Entity Type:Organization
Organization Name:DENVER PAIN AND SPINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:720-541-6800
Mailing Address - Street 1:14828 W 6TH AVE
Mailing Address - Street 2:STE 16-B
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5000
Mailing Address - Country:US
Mailing Address - Phone:720-541-6800
Mailing Address - Fax:720-541-6801
Practice Address - Street 1:14828 W 6TH AVE
Practice Address - Street 2:STE 16-B
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5000
Practice Address - Country:US
Practice Address - Phone:720-541-6800
Practice Address - Fax:720-541-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty