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Organization

5280 ANESTHESIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN J OBLANCHINSKI DO (PRESIDENT)
(303) 513-4693
Entity
Organization

Contact information

Practice address
9397 CROWN CREST BLVD, # 110, PARKER, CO 80138-8575
(720) 974-6499
Mailing address
PO BOX 974815, DALLAS, TX 75397-0001
(800) 394-4445

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19984367
CO
Enumeration date
08/19/2006
Last updated
11/13/2007
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