Provider Demographics
NPI:1629222393
Name:VIGILANT ANESTHESIA PROVIDERS OF THE ROCKIES, PC
Entity Type:Organization
Organization Name:VIGILANT ANESTHESIA PROVIDERS OF THE ROCKIES, PC
Other - Org Name:VAPOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:NASH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:720-278-4543
Mailing Address - Street 1:PO BOX 916
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-0916
Mailing Address - Country:US
Mailing Address - Phone:720-252-9638
Mailing Address - Fax:303-845-6005
Practice Address - Street 1:181 RED ROCKS VISTA LANE
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465
Practice Address - Country:US
Practice Address - Phone:720-252-9638
Practice Address - Fax:303-845-6005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39166207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty