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Organization

CEDAR PEAKS ANESTHESIA PARTNERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDRE-PAUL MICHAUD M.D. (ANESTHESIOLOGIST)
(970) 676-1068
Entity
Organization

Contact information

Practice address
575 RIVERGATE, DURANGO, CO 81301-7487
(970) 247-3537
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
CO
284300000X
Special Hospital
DR.0048852
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61781339
CO
Enumeration date
10/09/2014
Last updated
07/21/2015
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