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Organization
MOUNTAIN ANESTHESIA CONSULTANTS LLC
Active
Organization
MOUNTAIN ANESTHESIA CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M PERAGINE M.D. (PRESIDENT)
(303) 222-1104
Entity
Organization
Contact information
Practice address
26 W DRY CREEK CIR STE 390, LITTLETON, CO 80120-8064
(303) 222-1104
Mailing address
PO BOX 270807, LITTLETON, CO 80127-0014
(303) 222-1104
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
40963
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40963
COLORADO LICENSE
CO
Enumeration date
05/13/2015
Last updated
11/26/2018
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