# MONTROSE RADIOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356112239
- **Authorized official:** RANDALL MICHAEL RAZIANO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (970) 252-2609

## Contact information

- **Practice address:** 3330 S RIO GRANDE AVE, SUITE 100, MONTROSE, CO 81401
- **Practice address phone:** (970) 249-2211
- **Mailing address:** 2233 E MAIN ST, MONTROSE, CO 81401-3831
- **Mailing address phone:** (970) 765-0831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 01/11/2024