Organization
MID WEST ANESTHESIA CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL HARRIMAN CRNA (PRESIDENT)
(970) 521-3132
Entity
Organization
Contact information
Practice address
615 FAIRHURST ST, STERLING, CO 80751-4564
(970) 521-3132
Mailing address
DEPT 6055, LOS ANGELES, CA 90084-0001
(800) 204-0099
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11073349
—
CO
01
—
180052
BCBS
KS
05
—
200386290A
—
KS
01
—
610158300
US DEPT OF LABOR
—
01
—
670461
BCBS
CO
Enumeration date
04/24/2006
Last updated
03/10/2008
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