Provider Demographics
NPI:1316274616
Name:ANESTHESIA ASSOCIATES OF COLORADO SPRINGS PC
Entity type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF COLORADO SPRINGS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD/PAIN DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-237-6723
Mailing Address - Street 1:DEPT 1029
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80263-0001
Mailing Address - Country:US
Mailing Address - Phone:800-237-6723
Mailing Address - Fax:352-732-6282
Practice Address - Street 1:1625 MEDICAL CENTER PT STE 215
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5798
Practice Address - Country:US
Practice Address - Phone:719-359-8702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain