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NPI Profile for MILE HIGH SPINE AND PAIN CENTER LLC in WESTMINSTER, CO.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Diagnostic Ultrasound |
2085U0001X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1982403143 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/11/2025 | |
| Last updated | 03/11/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MILE HIGH SPINE AND PAIN CENTER LLC
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MILE HIGH SPINE AND PAIN CENTER LLC