Healthcare Provider Details

I. General information

NPI: 1376146506
Provider Name (Legal Business Name): ROCKY MOUNTAIN CANCER CENTERS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2312 N NEVADA AVE STE 400
COLORADO SPRINGS CO
80907-5320
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 300
GREENWOOD VILLAGE CO
80111-4726
US

V. Phone/Fax

Practice location:
  • Phone: 719-577-2555
  • Fax: 719-577-2553
Mailing address:
  • Phone: 303-930-7895
  • Fax: 303-267-4477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY MURPHY
Title or Position: PRACTICE PRESIDENT
Credential: MD
Phone: 719-577-2555