Organization
ADVANCED SPECIALTY ANESTHESIA COLORADO, LLC
Active
Organization
ADVANCED SPECIALTY ANESTHESIA COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY WILLIAM GLASGOW CRNA (OWNER/SHAREHOLDER)
(785) 856-6170
Entity
Organization
Contact information
Practice address
15121 EAST MISSISSIPPI, AURORA, CO 80012
(303) 802-1022
Mailing address
13918 EAST MISSISSIPPI AVENUE, BOX 339, AURORA, CO 80012
(785) 856-6170
(785) 856-6171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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