Organization
RADIOLOGY & IMAGING CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CONNAUGHTON MD (AUTHORIZED OFFICIAL)
(719) 578-1162
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5853
(719) 365-1048
Mailing address
PO BOX 63300, COLORADO SPRINGS, CO 80962-3300
(719) 578-1162
(719) 578-1462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04166047
—
CO
01
—
RA16604
GROUP BCBS #
CO
Enumeration date
06/19/2006
Last updated
06/13/2016
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