Organization
FOCUSED ABLATION IMAGING
Active
Other names
Focused Ablation Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH GAUTIER (ADMINISTRATOR)
(303) 810-5823
Entity
Organization
Contact information
Practice address
7170 SMOKE RANCH RD, SUITE A, LAS VEGAS, NV 89128-1103
(303) 810-5823
(303) 698-4374
Mailing address
1183 S HURON ST, DENVER, CO 80223-3106
(303) 810-5823
(303) 698-4374
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
10/14/2006
Last updated
08/22/2020
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