Organization
PARKWEST IMAGING, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COOKIE HENDERSON R.T. (OFFICE MANAGER)
(719) 542-2167
Entity
Organization
Contact information
Practice address
3676 PARKER BLVD SUITE 165, PUEBLO, CO 81008-2212
(719) 595-7600
(719) 595-7661
Mailing address
DEPT 1391, DENVER, CO 80291-1391
(719) 542-2167
(719) 542-0320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91634237
—
CO
Enumeration date
05/24/2006
Last updated
04/11/2012
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