Healthcare Provider Details
I. General information
NPI: 1053092189
Provider Name (Legal Business Name): ANESTHESIA CONSULTING PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2023
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 S CLARK ST
BUTTE MT
59701-2328
US
IV. Provider business mailing address
12 CALLE AMENO
SAN CLEMENTE CA
92672-2346
US
V. Phone/Fax
- Phone: 406-723-2500
- Fax:
- Phone: 720-984-7566
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARIN
L
RENTZ
Title or Position: OWNER
Credential: DO
Phone: 844-565-6471