| NPI | 1700456274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN COWLEY Managing Partner 385-492-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-07-28 |