Healthcare Provider Details

I. General information

NPI: 1629222393
Provider Name (Legal Business Name): VIGILANT ANESTHESIA PROVIDERS OF THE ROCKIES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 11/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 RED ROCKS VISTA LANE
MORRISON CO
80465
US

IV. Provider business mailing address

PO BOX 916
MORRISON CO
80465-0916
US

V. Phone/Fax

Practice location:
  • Phone: 720-252-9638
  • Fax: 303-845-6005
Mailing address:
  • Phone: 720-252-9638
  • Fax: 303-845-6005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number39166
License Number StateCO

VIII. Authorized Official

Name: DR. ARTHUR J. NASH JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 720-278-4543