| NPI | 1114528908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L BOYER Auth Rep/Director Of Operations 970-663-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2021-01-25 |