Organization
PHYSICIAN ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW P. BUCHHOLZ (PRESIDENT)
(303) 425-4500
Entity
Organization
Contact information
Practice address
12911 W 40TH AVE, GOLDEN, CO 80401-2696
(330) 321-6552
Mailing address
12911 W 40TH AVE, WHEAT RIDGE, CO 80401-2696
(425) 407-1500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013108
—
CO
01
—
CQ5051
RAILROAD MEDICARE
CO
Enumeration date
12/06/2005
Last updated
04/16/2025
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