Basic Information
| Provider Information | |||||||||
| NPI: | 1518240134 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DENVER ANESTHESIA SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5501 W GRAY ST | ||||||||
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| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336091007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8135696500 | ||||||||
| FaxNumber: | 8138644030 | ||||||||
| Practice Location | |||||||||
| Address1: | 2480 S DOWNING ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802105890 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037777303 | ||||||||
| FaxNumber: | 3032820266 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2011 | ||||||||
| LastUpdateDate: | 09/20/2011 | ||||||||
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| AuthorizedOfficialLastName: | PARKS | ||||||||
| AuthorizedOfficialFirstName: | JEFF | ||||||||
| AuthorizedOfficialMiddleName: | D. | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT OF OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 8135696500 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | SURGERY CENTER HOLDINGS INC. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.