| NPI | 1003419243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FROYA JESSE Senior Credentialing Coordinator 303-930-7895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |