Organization
COMPLETE CARE OFFICE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE DIEHL (PHYSICIAN)
(720) 763-0499
Entity
Organization
Contact information
Practice address
9320 GRAND CORDERA PKWY, COLORADO SPRINGS, CO 80924-7003
(719) 258-1250
Mailing address
4970 WOODLEY AVE, SEDALIA, CO 80135-8976
(720) 763-0499
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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