Organization
MARK OSWALD, CRNA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OSWALD CRNA (PRESIDENT)
(303) 690-1550
Entity
Organization
Contact information
Practice address
5157 S CEYLON CT, CENTENNIAL, CO 80015-4869
(303) 690-1550
Mailing address
5157 S CEYLON CT, CENTENNIAL, CO 80015-4869
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
84034
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42978726
—
CO
Enumeration date
12/14/2005
Last updated
08/22/2020
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