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Organization

MEDICAL INSIGHTS DIAGNOSTIC CENTERS CONCORD PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY ELIZABETH STEELE (CREDENTIALING SPECIALIST)
(559) 455-4109
Entity
Organization

Contact information

Practice address
1920 N HIGH ST, DENVER, CO 80218-1213
(303) 320-5871
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000180234
CO
Enumeration date
11/25/2020
Last updated
11/25/2020
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