Organization
RADIOLOGY ASSOCIATES
Active
Other names
Southern Colorado Radiologists, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
COOKIE HENDERSON R.T. (OFFICE MANAGER)
(719) 542-2167
Entity
Organization
Contact information
Practice address
1619 N GREENWOOD ST, SUITE 100, PUEBLO, CO 81003-2644
(719) 542-2167
(719) 542-0320
Mailing address
1619 N GREENWOOD ST, SUITE 103, PUEBLO, CO 81003-2644
(719) 542-2167
(719) 542-0320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04756045
—
CO
Enumeration date
09/22/2005
Last updated
04/14/2008
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