Organization
SPECIALIZED IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARD DAVIS ARRT (PRESIDENT)
(562) 706-1034
Entity
Organization
Contact information
Practice address
117 NAVAJO, UNIT 3, PAGOSA SPRINGS, CO 81147
(562) 706-1034
Mailing address
PO BOX 5685, PAGOSA SPRINGS, CO 81147-5685
(562) 706-1034
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
117741
CA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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