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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STAR REHAB PROF PHYSICIANS, LLC

Active Organization

STAR REHAB PROF PHYSICIANS, LLC is a Pain Medicine (PM&R) organization located in PUEBLO WEST, Colorado. NPI 1922000421 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · PUEBLO WEST, CO

Registration Details

NPI Number
1922000421
Provider Type
Organization
NPI Issued
Aug 15, 2005 (20.97282117318 yrs)
Last Updated
Aug 6, 2009
Licenses
44011 (CO)
31344 (KS)
04-31652 (KS)
39112 (CO)

Practice Information

Address
201 S MCCULLOCH BLVD
PUEBLO WEST, CO, 810072892
Browse CO providers · Browse ZIP 81007
Phone
7195615377
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)
Additional Specialty
Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.