Organization
COLORADO SPRINGS IMAGING LLC
Active
Other names
Envision Imaging of Bountiful
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BENSON (CHIEF REVENUE OFFICER)
(719) 955-4332
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 107, BOUNTIFUL, UT 84010-7667
(719) 955-4332
Mailing address
8610 EXPLORER DR UNIT 300, COLORADO SPRINGS, CO 80920-1036
(719) 955-4332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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