NPI | 1184869901 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACEANN GRILLO Credentialing Supervisor 720-493-3716 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2008-12-08 |
Last Update Date | 2024-03-31 |