Healthcare Provider Details

I. General information

NPI: 1619937513
Provider Name (Legal Business Name): JAMES I PIKO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 UNIVERSITY BLVD STE 77, RADIOLOGY SPECIALIST OF DENVER
DENVER CO
80206
US

IV. Provider business mailing address

210 UNIVERSITY BLVD STE 77, RADIOLOGY SPECIALIST OF DENVER
DENVER CO
80206
US

V. Phone/Fax

Practice location:
  • Phone: 720-941-7000
  • Fax: 720-941-7070
Mailing address:
  • Phone: 720-941-7000
  • Fax: 720-941-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number38855
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: