Individual
ROYCE FISHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(719) 537-0712
Mailing address
2 CIMARRON DR, GREENWOOD VILLAGE, CO 80121-1225
(303) 220-9646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61484
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07614845
—
CO
Enumeration date
07/09/2006
Last updated
03/26/2020
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