Healthcare Provider Details

I. General information

NPI: 1639753429
Provider Name (Legal Business Name): GUARDIAN ANESTHESIA SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2021
Last Update Date: 05/08/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14200 E ARAPAHOE RD
CENTENNIAL CO
80112-4065
US

IV. Provider business mailing address

PO BOX 960556
OKLAHOMA CITY OK
73196-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-3000
  • Fax:
Mailing address:
  • Phone: 303-422-9438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY KEEVER
Title or Position: PRESIDENT
Credential: MD
Phone: 303-524-5187