MEDICARE: RURAL RADIOLOGY ASSOCIATES PLLC

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	2085R0202X	Diagnostic Radiology Physician		NM

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	:	1659416642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL RADIOLOGY ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	12687 W CEDAR DR
Second Line	:	SUITE 300
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-2010
Country	:	US
Telephone Number	:	303-468-1395
Fax Number	:	303-468-1394

Provider Business Practice Location Address
First Line	:	12687 W CEDAR DR
Second Line	:	SUITE 300
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-2010
Country	:	US
Telephone Number	:	303-468-1395
Fax Number	:	303-468-1394

Authorized Official
Title or Position	:	PARTNER
Name	:	JOSEPH A ORZEL
Credential	:	M.D.
Telephone Number	:	303-468-1395

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	10/17/2007

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