Penrad Imaging LLC
NPI #1003906868 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1003906868
- Entity Type
- Organization
- Organization Name
- Penrad Imaging LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Nov 3, 2020
Practice Location
- Address
- 3050 N CIRCLE DR
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80909-1175
- Phone
- (719) 785-9001
Authorized Official
- Name
- DEREK SCOTT BERGESON, MD
- Title
- RADIOLOGIST
- Phone
- (719) 593-1799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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