Healthcare Provider Details

I. General information

NPI: 1669461174
Provider Name (Legal Business Name): ALPINE ANESTHESIA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 TEN MILE DRIVE UNIT F
FRISCO CO
80443-5014
US

IV. Provider business mailing address

PO BOX 5014
FRISCO CO
80443-5014
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-9200
  • Fax: 970-668-1100
Mailing address:
  • Phone: 970-668-9200
  • Fax: 970-668-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSS ELLIOTT DICKSTEIN
Title or Position: MD
Credential: M.D.
Phone: 970-668-9200