Organization
ROCKY MOUNTAIN STATE ANESTHESIA PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO J CARMOSINO MD (MD)
(855) 654-5262
Entity
Organization
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Mailing address
PO BOX 1786, FORT COLLINS, CO 80522-1786
(855) 654-5262
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
01/24/2018
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