Healthcare Provider Details

I. General information

NPI: 1922838697
Provider Name (Legal Business Name): P2 ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 N FRANKLIN ST STE 260
DENVER CO
80218-1128
US

IV. Provider business mailing address

3118 NEWTON ST
DENVER CO
80211-3644
US

V. Phone/Fax

Practice location:
  • Phone: 303-604-5000
  • Fax:
Mailing address:
  • Phone: 720-845-0007
  • Fax: 303-648-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ADAM MANCHON
Title or Position: PRINCIPAL OWNER
Credential: MD
Phone: 303-818-7933