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PUEBLO RADIOLOGICAL GROUP, P.C.
NPI 1699376764
Clinic/Center - Radiology in Canon City, CO

Active since November 05, 2020
1338 PHAY AVE, CANON CITY, CO 81212(719) 285-2000(719) 542-7019 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2021, Nov 5, 2020 (2 updates tracked since 2020).

About Pueblo Radiological Group, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO RADIOLOGICAL GROUP, P.C. (NPI 1699376764) is a healthcare organization registered as a radiology in Canon City, Colorado and active in the NPI registry since November 2020. The organization lists Robin L Boyer, Authorized Rep/director Of Operatio, as its authorized official.

NPPES Registry Identity

NPI1699376764
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePUEBLO RADIOLOGICAL GROUP, P.C.
Location Address1338 PHAY AVECanon City, CO 81212-2311
Mailing AddressPo Box 7693Loveland, CO 80537-0693 · (970) 663-2742 · Fax (970) 342-2093
Phone(719) 285-2000
Fax(719) 542-7019
Organization SubpartNo
Authorized OfficialRobin L BoyerAuthorized Rep/director Of Operatio · (970) 663-2742
Enumeration DateNovember 5, 2020
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1699376764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
1338 PHAY AVE, Canon City, CO 81212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHA L. COBERLY CFNP
Nurse Practitioner
1338 PHAY AVE, ST THOMAS MORE HOSPITAL
CANON CITY, CO 81212
Fremont County (719) 285-2000
DR. ALEC DOUGLAS BOWER D.O.
Emergency Medicine
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (719) 285-2000
VINCENT TAKWING YU M.D.
Surgery
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (719) 285-2760
NCALDWELL INC
Internal Medicine
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (702) 453-3799
MR. DAVE EARL EGERDAHL R.D.
Dietitian, Registered
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (719) 285-2025
HM KILZER MD
Hospitalist
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (719) 285-2000
MOLLIE T MILLER
Obstetrics & Gynecology
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (719) 285-2700
TIMOTHY ARTHUR ANDREWS OTR, CHT
Occupational Therapist
1338 PHAY AVE
CANON CITY, CO 81212
Fremont County (719) 285-2613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pueblo Radiological Group, P.C.'s NPI number?

The NPI number for Pueblo Radiological Group, P.C. is 1699376764. It was assigned to this organization in the NPPES registry on November 5, 2020.

Where is Pueblo Radiological Group, P.C. located?

Pueblo Radiological Group, P.C. is located at 1338 Phay Ave, Canon City, CO 81212. The listed phone number is (719) 285-2000.

What is Pueblo Radiological Group, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Pueblo Radiological Group, P.C. was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.