| NPI | 1629109111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALTERS Owner 970-259-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-07-07 |