| NPI | 1124611652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON F GIBBS Owner 719-543-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |