Provision Imaging of Ft Collins

NPI #1457375545 in Fort Collins, Colorado

Provider Information

NPI Number
1457375545
Entity Type
Organization
Organization Name
Provision Imaging of Ft Collins
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Jul 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4114 TIMBERLINE RD
ZIP Code
80525-6034
Phone
(970) 223-9939

Authorized Official

Name
MR. ROBERT MATT TRENT
Title
COO
Phone
(405) 842-7768

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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