Healthcare Provider Details

I. General information

NPI: 1063899284
Provider Name (Legal Business Name): CAMERON WARD COKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CAMERON TYLER WARD

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 120
DENVER CO
80220-4000
US

IV. Provider business mailing address

4600 HALE PKWY STE 120
DENVER CO
80220-4000
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-9293
  • Fax:
Mailing address:
  • Phone: 303-788-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberDR.0075121
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: