Organization
CASCADE ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A. ROTA C.R.N.A. (PRESIDENT)
(719) 598-1796
Entity
Organization
Contact information
Practice address
320 E FONTANERO ST, SUITE 101, COLORADO SPRINGS, CO 80907-7529
(719) 598-1796
Mailing address
PO BOX 62158, COLORADO SPRINGS, CO 80962-2158
(719) 598-1796
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07648827
—
CO
Enumeration date
09/15/2006
Last updated
04/22/2008
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