| NPI | 1447907746 |
|---|---|
| Doing Business As | ENVISION IMAGING BOUNTIFUL |
| Entity Type | Organization |
| Authorized Contact | ANDREW BENSON Director 719-955-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-07-13 |