Penrad Imaging LLC

NPI #1730780172 in Monument, Colorado

Provider Information

NPI Number
1730780172
Entity Type
Organization
Organization Name
Penrad Imaging LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Nov 3, 2020
Last Updated
Nov 3, 2020

Practice Location

Address
17230 JACKSON CREEK PKWY STE 100
ZIP Code
80132-7302
Phone
(719) 593-1799

Authorized Official

Name
DEREK SCOTT BERGESON, MD
Title
RADIOLOGIST
Phone
(719) 593-1799

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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