| NPI | 1346833167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BENSON Chief Revenue Office 719-955-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-05-18 |