| NPI | 1831799576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALEXANDER WARDROP Owner/Authorized Rep 970-663-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |