| NPI | 1366633083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL M RAZIANO Owner 970-249-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO 44856) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-11-08 |