Healthcare Provider Details
I. General information
NPI: 1619737830
Provider Name (Legal Business Name): CAW ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1610 DRY CREEK DR
LONGMONT CO
80503-6405
US
IV. Provider business mailing address
PO BOX 668
ARVADA CO
80001-0668
US
V. Phone/Fax
- Phone: 720-494-4750
- Fax:
- Phone: 303-422-9438
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DARIN
E
ALLEN
Title or Position: MEMBER
Credential: MD
Phone: 913-593-7647