Organization
SUBSPECIALTY IMAGING PARTNERS PROF, LLC
Active
Organization
SUBSPECIALTY IMAGING PARTNERS PROF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIE BERRIAN (CFO)
(303) 761-9190
Entity
Organization
Contact information
Practice address
10700 E GEDDES AVE, #200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(303) 761-6322
Mailing address
PO BOX 3079, GREENWOOD VILLAGE, CO 80155-3079
(303) 761-9190
(303) 761-6322
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66638739
—
CO
Enumeration date
06/05/2006
Last updated
10/31/2007
Update your record
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