| Mr Brian Thomas Farstad, CRNA | |
|
16420 W Us Highway 24, Pikes Peak Regional Hospital, Woodland Park, CO 80863 | |
| (607) 207-7233 | |
| Not Available |
| Full Name | Mr Brian Thomas Farstad |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 16420 W Us Highway 24, Woodland Park, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629216437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AA093004 (Maine) | Primary |
| Entity Name | Woodland Park Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417249996 PECOS PAC ID: 3971771999 Enrollment ID: O20110719000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Thomas Farstad, CRNA 655 W Kelly Rd, Woodland Park, CO 80863-3013 Ph: (607) 207-7233 | Mr Brian Thomas Farstad, CRNA 16420 W Us Highway 24, Pikes Peak Regional Hospital, Woodland Park, CO 80863 Ph: (607) 207-7233 |
Lonnie W. Clark, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 16420 W Us Highway 24, Woodland Park, CO 80863 Phone: 806-790-3928 | |
Ryan Bezzant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16420 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-374-6060 |