Organization
MONARCH ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHAFFER CRNA (PRESIDENT)
(877) 294-7444
Entity
Organization
Contact information
Practice address
448 E 1ST ST, SALIDA, CO 81201-2804
(719) 539-6661
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(877) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
162701
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97754871
—
CO
Enumeration date
07/01/2006
Last updated
03/22/2012
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