Organization
CENTENNIAL ANESTHESIA AND PAIN MANAGEMENT PLLC
Active
Organization
CENTENNIAL ANESTHESIA AND PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALIY DOMASCHEVICH MD (OWNER)
(720) 252-4590
Entity
Organization
Contact information
Practice address
15728 E PRENTICE LN, CENTENNIAL, CO 80015-4263
(720) 252-4590
Mailing address
15728 E PRENTICE LN, CENTENNIAL, CO 80015-4263
(720) 252-4590
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
CO
Other
Enumeration date
09/20/2007
Last updated
07/21/2022
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