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Organization

NORTHERN COLORADO ANESTHESIA PROFESSIONALS PLLC

Active
Other names
NCAP, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN WOTOWEY (CEO)
(970) 224-2985
Entity
Organization

Contact information

Practice address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
(970) 223-1118
Mailing address
3702 AUTOMATION WAY, SUITE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
(970) 223-1118

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0225723
WORK COMP
WA
05
04035054
CO
05
113844800
WY
01
187269700
FEDERAL WORK COMP
CO
05
XX-XXXXXXX15
NE
Enumeration date
10/06/2005
Last updated
04/01/2024
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