Healthcare Provider Details

I. General information

NPI: 1487687190
Provider Name (Legal Business Name): RADIOLOGY SPECIALISTS OF DENVER-PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 UNIVERSITY BLVD SUITE 77
DENVER CO
80206-4616
US

IV. Provider business mailing address

210 UNIVERSITY BLVD SUITE 77
DENVER CO
80206-4616
US

V. Phone/Fax

Practice location:
  • Phone: 720-941-7000
  • Fax: 720-274-2138
Mailing address:
  • Phone: 720-941-7000
  • Fax: 720-274-2138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT P ALLEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 720-941-7000