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Organization

ANESTHESIA ASSOCIATES OF THE FRONT RANGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE GOUDZWAARD (CEO)
(303) 205-1090
Entity
Organization

Contact information

Practice address
1001 SOUTHPARK DR, LITTLETON, CO 80120
(303) 722-8987
(303) 722-2935
Mailing address
3333 S. WADSWORTH BLVD #100-D, LAKEWOOD, CO 80227
(303) 205-1090
(303) 205-5534

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71671323
CO
Enumeration date
11/10/2009
Last updated
01/28/2013
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