Pueblo Radiological Group, P.C.
Clinic/Center, Radiology in Pueblo, CO. Organization (NPI-2).
NPI number1164023131
StatusActive
Last updated in NPPESJan 25, 2021
Details
- NPI
- 1164023131
- Entity type
- Organization (NPI-2)
- Legal business name
- Pueblo Radiological Group, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Jan 25, 2021
- Last updated
- Jan 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Practice location
4112 Outlook Blvd Ste 37Pueblo, CO 81008-1667
Phone 719-562-6300 · Fax 719-542-7019
Mailing address
Po Box 7693Loveland, CO 80537-0693
Phone 970-663-2742 · Fax 970-342-2093
Authorized official
Robin L Boyer
Auth Rep / Director Of Operations
9706632742
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All 9 Radiology Clinic/Center providers in Pueblo · All 5,060 providers in Pueblo
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