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Red Mountain Radiology Professional Llc
Radiology Clinic/Center in Canon City, Colorado
NPI 1396851234

Red Mountain Radiology Professional Llc is a Radiology Clinic/Center based in Canon City, CO and is specialized in Radiology. Red Mountain Radiology Professional Llc practices in Canon City, CO. The NPI Number for Red Mountain Radiology Professional Llc is 1396851234 and holds a License No. (Colorado).

The current practice location address for Red Mountain Radiology Professional Llc is 1338 Phay Ave, Canon City, CO and can be reached out via phone at 719-285-2036.

Location: 1338 Phay Ave, Canon City, CO, 81212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396851234
Provider Name
Red Mountain Radiology Professional Llc
Credential
Provider Entity Type
Organization
Address
1338 Phay Ave, Canon City, CO, 81212
Phone Number
719-285-2036
Fax Number
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04016416 05 CO
CE7950 01 CO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1338 Phay Ave
City
Canon City
State
Colorado
Zip
81212
Phone Number
719-285-2036
Fax Number
person
Provider Business Mailing Address Details
Address
1338 Phay Ave
City
Canon City
State
Colorado
Zip
81212
Phone Number
719-285-2036
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
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Definition
Definition to come...
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