| NPI | 1548844392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FROYA JESSE Senior Credentialing COO Rdinator 303-930-7895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |