Organization
PARKSIDE CT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J TOLLEFSON (EXECUTIVE DIRECTOR)
(719) 471-1775
Entity
Organization
Contact information
Practice address
215 PARKSIDE DR STE 100, COLORADO SPRINGS, CO 80910-3136
(719) 471-1775
(719) 632-6055
Mailing address
215 PARKSIDE DR STE 100, COLORADO SPRINGS, CO 80910-3136
(719) 471-1775
(719) 632-6055
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
96504
CO
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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