Organization
DIAGNOSTIC RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD E. HEGSTROM MD (MANAGING OFFICIAL)
(970) 644-4345
Entity
Organization
Contact information
Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 644-4345
(970) 644-4379
Mailing address
PO BOX 308, MONTROSE, CO 81402-0308
(970) 765-0818
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04032082
—
CO
01
—
CN2807
RAILROAD WORKERS MEDICARE
—
Enumeration date
01/18/2006
Last updated
09/01/2020
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