Individual
ROSS MIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01078491A
IN
207L00000X
Anesthesiology Physician
Primary
DR.0059586
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001289189
ANTHEM PTAN
IN
05
—
300028154
—
IN
Enumeration date
06/10/2014
Last updated
12/04/2024
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