=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487687190
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RADIOLOGY SPECIALISTS OF DENVER-PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 210 UNIVERSITY BLVD SUITE 77
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80206-4616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-941-7000
-----------------------------------------------------
Fax | 720-274-2138
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 210 UNIVERSITY BLVD SUITE 77
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80206-4616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-941-7000
-----------------------------------------------------
Fax | 720-274-2138
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROBERT P ALLEN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 720-941-7000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0200X
-----------------------------------------------------
Taxonomy Name | Radiology Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------