Healthcare Provider Details

I. General information

NPI: 1316274616
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF COLORADO SPRINGS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 11/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 MEDICAL CENTER PT STE 215
COLORADO SPRINGS CO
80907-5798
US

IV. Provider business mailing address

DEPT 1029
DENVER CO
80263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 719-359-8702
  • Fax:
Mailing address:
  • Phone: 800-237-6723
  • Fax: 352-732-6282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTY VERHEY
Title or Position: MD/PAIN DIRECTOR
Credential: MD
Phone: 800-237-6723