Organization
JAMES R. DAVIS
Active
Other names
Specialized Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R. DAVIS R.T. (PRESIDENT)
(970) 279-1205
Entity
Organization
Contact information
Practice address
117 NAVAJO TRAIL DR STE V, PAGOSA SPRINGS, CO 81147-9033
(970) 279-1205
Mailing address
PO BOX 5685, PAGOSA SPRINGS, CO 81147-5685
(970) 279-1205
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
117741
CA
Other
Enumeration date
05/23/2017
Last updated
06/16/2018
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