Organization
PEAK TO PEAK ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA KAY MARONN JOHNSON CRNA (PRESIDENT)
(970) 389-2555
Entity
Organization
Contact information
Practice address
8403 BRYANT ST, WESTMINSTER, CO 80031
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15720535
—
CO
Enumeration date
10/13/2006
Last updated
08/24/2019
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