MEDICARE: DR VANSTON MASRI PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1871100529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR VANSTON MASRI PLLC

Provider Business Mailing Address
First Line	:	1601 E 19TH AVE STE 3600
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1252
Country	:	US
Telephone Number	:	720-515-2353
Fax Number	:	720-815-2614

Provider Business Practice Location Address
First Line	:	1601 E 19TH AVE STE 3600
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1252
Country	:	US
Telephone Number	:	720-515-2353
Fax Number	:	720-815-2614

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. VANSTON MASRI
Credential	:	D.O.
Telephone Number	:	720-515-2353

Provider Enumeration Date	:	09/27/2020
Last Update Date	:	09/27/2020

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Directions to “DR VANSTON MASRI PLLC ” Practice Location

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