Organization
PENRAD IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE WARD (CEO)
(719) 265-3765
Entity
Organization
Contact information
Practice address
1225 CLOVER LN, WALNUT CREEK, CA 94595-1409
(719) 593-1799
(719) 265-3794
Mailing address
PO BOX 2989, COLORADO SPRINGS, CO 80901-2989
(719) 593-1799
(719) 265-3794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
01/12/2021
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