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Organization

ANESTHESIA ASSOCIATES OF COLORADO SPRINGS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKE DEIGNAN MD (MD/PRESIDENT)
(719) 365-6999
Entity
Organization

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-6999
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04004768
CO
01
40422
BLUE CROSS BLUE SHIELD
CO
01
CU0502
RAILROAD MEDICARE
CO
Enumeration date
05/10/2006
Last updated
11/06/2014
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