Organization
TEMPRAD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M NEEDELL MD (MEDICAL DIRECTOR)
(800) 462-0975
Entity
Organization
Contact information
Practice address
448 E 1ST ST, SALIDA, CO 81201-2804
(800) 462-0975
Mailing address
PO BOX 7704, LOVELAND, CO 80537-0704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025130300
—
NE
05
—
66276349
—
CO
01
—
DF0998
RAILROAD MEDICARE
CO
Enumeration date
06/03/2006
Last updated
10/04/2007
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