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Organization

SOUTHERN COLORADO IMAGING ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL M ANDELMAN MD (MEDICAL DIRECTOR)
(877) 662-4044
Entity
Organization

Contact information

Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(877) 662-4044
Mailing address
PO BOX 7693, LOVELAND, CO 80537-0693

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88879321
CO
01
DA4993
RAILROAD MEDICARE
CO
Enumeration date
06/08/2006
Last updated
10/04/2007
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