Organization
ROCKY MOUNTAIN STATE ANESTHESIA PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO JOSEPH CARMOSINO MD (PRESIDENT)
(303) 667-1671
Entity
Organization
Contact information
Practice address
5890 W 13TH ST, GREELEY, CO 80634-4821
(970) 810-0090
Mailing address
PO BOX 1786, FORT COLLINS, CO 80522-1786
(855) 654-5262
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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