| NPI | 1356112239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL MICHAEL RAZIANO Authorized Official 970-252-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-11 |