| NPI | 1447907746 |
|---|---|
| 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 | 2025-02-04 |