Organization
MADISON STREET ANESTHESIA LLC
Active
Parent organization
MADISON STREET PROVIDER NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON STREET PROVIDER NETWORK
Authorized official
DAN ZEBARTH (SENIOR VICE PRESIDENT - FINANCE)
(303) 468-0432
Entity
Organization
Contact information
Practice address
55 MADISON ST, 355, DENVER, CO 80206-5419
(303) 377-2020
(303) 377-2022
Mailing address
55 MADISON ST, 355, DENVER, CO 80206-5419
(303) 377-2020
(303) 377-2022
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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