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NPI Code Detail

MEDICARE: ROCKY MOUNTAIN CANCER CENTERS LLP

MEDICARE: ROCKY MOUNTAIN CANCER CENTERS LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology Physician

General Provider Information

NPI Number : 1962150243
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY MOUNTAIN CANCER CENTERS LLP
Provider Business Mailing Address
First Line : 7951 E MAPLEWOOD AVE STE 350
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-4758
Country : US
Telephone Number : 303-930-7800
Fax Number : 303-930-5503
Provider Business Practice Location Address
First Line : 6031 E WOODMEN RD STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-2625
Country : US
Telephone Number : 719-577-2555
Fax Number : 719-577-2553
Authorized Official
Title or Position : SENIOR CREDENTIALING COORDINATOR
Name : NANCY R. WORTHAM
Credential :
Telephone Number : 303-930-7803
Provider Enumeration Date : 03/15/2022
Last Update Date : 03/15/2022

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Directions to “ROCKY MOUNTAIN CANCER CENTERS LLP ” Practice Location

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