Organization
PUEBLO RADIOLOGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L BOYER (AUTH REP/DIRECTOR OF OPERATIONS)
(970) 663-2742
Entity
Organization
Contact information
Practice address
4194 ROYAL PINE DR, COLORADO SPRINGS, CO 80920-1507
(719) 522-2727
(719) 542-7019
Mailing address
PO BOX 7693, LOVELAND, CO 80537-0693
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
01/25/2021
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