| NPI | 1235730797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN ANDRIKOPOULOS Managing Partner 307-690-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |