| NPI | 1629829098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DORMAN Practice Administrator 720-669-3036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |