Organization
MALCOLM J. MONLEZUN, LLC
Active
Organization
MALCOLM J. MONLEZUN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM J MONLEZUN CRNA (OWNER/SOLE PROPRIETOR)
(303) 915-2269
Entity
Organization
Contact information
Practice address
13601 N 115TH ST, LONGMONT, CO 80504-8017
(303) 915-2269
Mailing address
13601 N 115TH ST, LONGMONT, CO 80504-8017
(303) 915-2269
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
160578
CO
Other
Enumeration date
01/31/2013
Last updated
03/31/2014
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