MEDICARE: RADIOLOGY SPECIALISTS OF DENVER-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487687190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY SPECIALISTS OF DENVER-PC

Provider Business Mailing Address
First Line	:	210 UNIVERSITY BLVD
Second Line	:	SUITE 77
City	:	DENVER
State	:	CO
Zip	:	80206-4616
Country	:	US
Telephone Number	:	720-941-7000
Fax Number	:	720-274-2138

Provider Business Practice Location Address
First Line	:	210 UNIVERSITY BLVD
Second Line	:	SUITE 77
City	:	DENVER
State	:	CO
Zip	:	80206-4616
Country	:	US
Telephone Number	:	720-941-7000
Fax Number	:	720-274-2138

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT P ALLEN
Credential	:	M.D.
Telephone Number	:	720-941-7000

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/22/2020

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