| NPI | 1811613912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON F GIBBS Authorized Representative 719-543-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |