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Organization

RED MOUNTAIN RADIOLOGY PROFESSIONAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CURTIS LEE HARLOW MD (OWNER)
(719) 275-0966
Entity
Organization

Contact information

Practice address
1338 PHAY AVE, ST THOMAS MORE HOSPITAL, CANON CITY, CO 81212
(719) 285-2036
Mailing address
831 ROYAL GORGE BLVD, SUITE 422, CANON CITY, CO 81212
(719) 275-0966
(719) 275-2703

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04016416
CO
01
CE7950
RAILROAD MEDICARE
CO
Enumeration date
08/22/2006
Last updated
08/22/2020
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