Healthcare Provider Details

I. General information

NPI: 1376403477
Provider Name (Legal Business Name): CANCER CENTERS OF COLORADO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2777 MILE HIGH STADIUM CIR STE 100
DENVER CO
80211-5222
US

IV. Provider business mailing address

500 ELDORADO BLVD STE 4300
BROOMFIELD CO
80021-3564
US

V. Phone/Fax

Practice location:
  • Phone: 303-403-6820
  • Fax: 303-403-6397
Mailing address:
  • Phone: 303-272-0566
  • Fax: 303-272-0390

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: SCOTT PHILLIP PEEK
Title or Position: MARKET PRESIDENT FRONT RANGE
Credential:
Phone: 303-425-8360