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Individual

GERALD INGRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RT

Contact information

Practice address
1501 S POTOMAC ST, AURORA, CO 80012-5411
(303) 761-9190
(303) 761-6322
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(303) 761-6278

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
CO
374700000X
Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
228985
ARRT CERTIFICATION
Enumeration date
02/01/2007
Last updated
03/29/2024
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