Organization
PLATTE RIVER ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD SISK M.D. (PRESIDENT)
(303) 659-1531
Entity
Organization
Contact information
Practice address
1850 E EGBERT ST, BRIGHTON, CO 80601-2404
(303) 659-1531
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35571250
—
CO
Enumeration date
11/14/2005
Last updated
08/22/2020
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