Provider Demographics
NPI:1932480217
Name:AMBULATORY ANESTHESIOLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:AMBULATORY ANESTHESIOLOGY ASSOCIATES PC
Other - Org Name:ALEX V SLUCKY MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:V
Authorized Official - Last Name:SLUCKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-915-1932
Mailing Address - Street 1:9457 S UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 634
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-4976
Mailing Address - Country:US
Mailing Address - Phone:303-915-1932
Mailing Address - Fax:
Practice Address - Street 1:9457 S UNIVERSITY BLVD
Practice Address - Street 2:SUITE 634
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-4976
Practice Address - Country:US
Practice Address - Phone:303-915-1932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32850207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty