Individual provider · Type 1 NPI

Corey Tait Eastham Sours, R.T. (R)(CT)(ARRT)

Diagnostic Radiology Physician · Grand Junction, CO

NPI number 1043724693 Active

Practice location

2121 North Ave
Grand Junction, CO 81501-6428

Mailing address

420 Pintail Ave
Grand Junction, CO 81504-6215

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X510729 (CO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043724693

Corey Tait Eastham Sours, R.T. (R)(CT)(ARRT)'s National Provider Identifier is 1043724693, issued on Nov 17, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grand Junction, CO. The record was last updated on Nov 17, 2017.