Organization
IVIEW DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MALONE (ADMINISTRATIVE MANAGER)
(405) 321-8125
Entity
Organization
Contact information
Practice address
1000 LINCOLN ST, FORT MORGAN, CO 80701-3290
(719) 542-7891
Mailing address
PO BOX 2039, PUEBLO, CO 81004-0039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53704541
—
CO
Enumeration date
11/17/2005
Last updated
04/24/2008
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