| NPI | 1376785089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DESAIRE Director Of Provider Relations 970-495-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |