Black Mountain Anesthesia Group

NPI #1639568058 in Craig, Colorado

Provider Information

NPI Number
1639568058
Entity Type
Organization
Organization Name
Black Mountain Anesthesia Group
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 22, 2015
Last Updated
Jan 22, 2015

Practice Location

Address
750 HOSPITAL LOOP
City
Craig
ZIP Code
81625-8750
Phone
(970) 824-3000

Authorized Official

Name
MR. JOHN KEITH PRESCOTT, MSNA
Title
CRNA
Phone
(918) 850-5607

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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