Organization
UNCOMPAHGRE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA D DWYER RN, CRNA (OWNER)
(970) 323-8703
Entity
Organization
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 323-8703
(970) 249-8421
Mailing address
PO BOX 530, OLATHE, CO 81425-0530
(970) 323-8703
(970) 249-8421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110448
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24921815
—
CO
Enumeration date
01/19/2006
Last updated
08/22/2020
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