| NPI | 1639215833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J TOLLEFSON Executive Director 719-471-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CO 96504) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |