TANYA TIVORSAK MD PC NPI 1447507645

NPI Information

TANYA TIVORSAK MD PC is a diagnostic radiology radiology in Boulder, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TANYA TIVORSAK MD PC NPI is 1447507645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2425 CANYON BLVD STE 150
BOULDER, CO
ZIP 80302-736
Phone: (303) 440-1000

The provider's authorized official is Tanya L Tivorsak .
The authorized official title is Owner and has the following contact phone number (303) 440-1000.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 1/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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