Premier Pain Management Llc | |
8671 S Quebec St Ste 150 Highlands Ranch CO 80130-5861 | |
(303) 683-6868 | |
(303) 683-2629 |
Full Name | Premier Pain Management Llc |
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Speciality | Family Medicine |
Location | 8671 S Quebec St Ste 150, Highlands Ranch, Colorado |
Authorized Official Name and Position | Ryan Woods (CLINIC DIRECTOR) |
Authorized Official Contact | 3036836868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Pain Management Llc 8671 S Quebec St Ste 150 Highlands Ranch CO 80130-5861 Ph: (303) 683-6868 | Premier Pain Management Llc 8671 S Quebec St Ste 150 Highlands Ranch CO 80130-5861 Ph: (303) 683-6868 |
NPI Number | 1366212292 |
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Provider Enumeration Date | 01/02/2024 |
Last Update Date | 01/02/2024 |
Medicare PECOS PAC ID | 6709224397 |
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Medicare Enrollment ID | O20240402000952 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366212292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ryan Woods |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386945343 PECOS PAC ID: 7113188467 Enrollment ID: I20141111000923 |
Provider Name | Allison Jean Ahern |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205699485 PECOS PAC ID: 6507204104 Enrollment ID: I20240402001436 |
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