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.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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