Provider Demographics
NPI:1457702409
Name:ANESTHESIA PARTNERS OF COLORADO
Entity type:Organization
Organization Name:ANESTHESIA PARTNERS OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAJTBORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-681-9153
Mailing Address - Street 1:PO BOX 2564
Mailing Address - Street 2:230 FOAL CIRCLE
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632
Mailing Address - Country:US
Mailing Address - Phone:970-315-3858
Mailing Address - Fax:
Practice Address - Street 1:230 FOAL CIRCLE
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632
Practice Address - Country:US
Practice Address - Phone:970-315-3858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty