Healthcare Provider Details

I. General information

NPI: 1518240134
Provider Name (Legal Business Name): DENVER ANESTHESIA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 S DOWNING ST
DENVER CO
80210-5890
US

IV. Provider business mailing address

5501 W GRAY ST
TAMPA FL
33609-1007
US

V. Phone/Fax

Practice location:
  • Phone: 303-777-7303
  • Fax: 303-282-0266
Mailing address:
  • Phone: 813-569-6500
  • Fax: 813-864-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEFF D. PARKS
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 813-569-6500