Organization
GREELEY ANESTHESIA SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T HART MD (PRESIDENT)
(970) 352-7366
Entity
Organization
Contact information
Practice address
2000 70TH AVE, GREELEY, CO 80634-8626
(970) 352-7366
Mailing address
PO BOX 336910, GREELEY, CO 80633-0616
(970) 352-7366
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96475374
—
CO
01
—
GR647318
ANTHEM GROUP NUMBER
CO
Enumeration date
04/12/2007
Last updated
08/22/2020
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