Healthcare Provider Details

I. General information

NPI: 1831531532
Provider Name (Legal Business Name): DILIGENCE ANESTHESIA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 S CIRCLE DR
COLORADO SPRINGS CO
80906-4113
US

IV. Provider business mailing address

2860 S CIRCLE DR
COLORADO SPRINGS CO
80906-4113
US

V. Phone/Fax

Practice location:
  • Phone: 760-780-8702
  • Fax:
Mailing address:
  • Phone: 760-780-8702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JANA GAINOK
Title or Position: CO-OWNER
Credential: FNP-C
Phone: 760-780-8702