| NPI | 1326632456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN AHMED President 970-692-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |