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Contact Information

INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP
1175 58TH AVE
STE 202
GREELEY, CO80634-4807
 Phone: 970-495-0300
 Fax: 970-224-9624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS LLP · (Female)

NPI # 1891793022
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 04018909
  • WY Medicaid 112073500
  • CO Other IM160808 ANTHEM BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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