Organization · Type 2 NPI
Tanya Tivorsak MD PC
Diagnostic Radiology Physician · Boulder, CO
NPI number
1447507645
Active
Practice location
2425 Canyon Blvd Ste 150
Boulder, CO 80302-6736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 50978 (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 1447507645
Tanya Tivorsak MD PC's National Provider Identifier is 1447507645, issued on Aug 7, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boulder, CO. The record was last updated on Jan 9, 2013.