Organization
FOCUSED ABLATION IMAGING
Active
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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