Organization · Type 2 NPI
Elevation Medical Imaging Gillette
Radiology Clinic/Center · Gillette, WY
NPI number
1003587692
Active
Practice location
913 E Boxelder Rd
Gillette, WY 82718
Fax (307) 682-1745
Mailing address
PO Box 736
Wheat Ridge, CO 80034-0736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1003587692
Elevation Medical Imaging Gillette's National Provider Identifier is 1003587692, issued on Sep 23, 2021. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Gillette, WY. The record was last updated on Apr 24, 2023.