Organization
CHILDREN'S ANESTHESIA
Active
Organization
CHILDREN'S ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MERRITT M.D. (PRESIDENT)
(303) 861-6226
Entity
Organization
Contact information
Practice address
1056 E 19TH AVE, DENVER, CO 80218-1007
(303) 861-6226
Mailing address
455 SHERMAN ST, SUITE 510, DENVER, CO 80203-4400
(303) 377-7638
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020566
—
CO
Enumeration date
09/16/2005
Last updated
08/22/2020
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