Healthcare Provider Details

I. General information

NPI: 1144311747
Provider Name (Legal Business Name): ELK RIVER ANESTHESIA ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 CENTRAL PARK DR
STEAMBOAT SPRINGS CO
80487
US

IV. Provider business mailing address

1135 E HIGHWAY 40
CRAIG CO
81625-1208
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-1322
  • Fax:
Mailing address:
  • Phone: 970-824-1088
  • Fax: 970-824-2700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID M SKOLNICK
Title or Position: PRESIDENT
Credential:
Phone: 307-214-0603