Organization
GUNNISON ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WOELK CRNA (PRESIDENT)
(970) 596-9575
Entity
Organization
Contact information
Practice address
112 W SPENCER AVE STE B, GUNNISON, CO 81230-2546
(303) 422-9438
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361881200
DEPT OF LABOR
CO
05
—
55777031
—
CO
01
—
GU06356
CO BCBS GROUP
CO
Enumeration date
10/06/2005
Last updated
07/21/2022
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