| NPI | 1558591578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL M RAZIANO Owner 970-596-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO 44856) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2019-06-04 |