Southern Colorado Anesthesia Professional LLC

NPI #1164668216 in Pueblo, Colorado

Provider Information

NPI Number: 1164668216
Entity Type: Organization
Organization Name: Southern Colorado Anesthesia Professional LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 19, 2008
Last Updated: Dec 19, 2008

Practice Location

Address: 4100 JERRY MURPHY RD
City: Pueblo
State: Colorado
ZIP Code: 81001-1046
Phone: (719) 214-2180

Authorized Official

Name: DR. JOHN R SANDOVAL, MD
Title: MANAGING PARTNER
Phone: (719) 214-2180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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