Provider Demographics
NPI:1467833897
Name:DIEHL ANESTHESIA INC
Entity Type:Organization
Organization Name:DIEHL ANESTHESIA INC
Other - Org Name:COMPLETE CARE ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-763-0499
Mailing Address - Street 1:PO BOX 1744
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-6244
Mailing Address - Country:US
Mailing Address - Phone:720-230-6848
Mailing Address - Fax:956-508-9770
Practice Address - Street 1:4606 JACKSON CREEK RD
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:CO
Practice Address - Zip Code:80135-8305
Practice Address - Country:US
Practice Address - Phone:720-230-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0053219207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty