| NPI | 1215170600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG A DICKERSON Owner 303-532-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CO PENDING) |
| Additional Taxonomies | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: CO PENDING) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |