Individual
MR. BRIAN THOMAS FARSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
16420 W US HIGHWAY 24, PIKES PEAK REGIONAL HOSPITAL, WOODLAND PARK, CO 80863
(607) 207-7233
Mailing address
655 W KELLY RD, WOODLAND PARK, CO 80863-3013
(607) 207-7233
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AA093004
ME
Other
Enumeration date
02/02/2009
Last updated
04/20/2016
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