Healthcare Provider Details
I. General information
NPI: 1700205473
Provider Name (Legal Business Name): ROCKY MOUNTAIN CANCER CENTERS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2014
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4700 HALE PKWY STE 400
DENVER CO
80220-4051
US
IV. Provider business mailing address
7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE CO
80111-4758
US
V. Phone/Fax
- Phone: 303-321-0302
- Fax: 303-930-5517
- Phone: 33-930-7800
- Fax: 303-930-5505
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
MURPHY
Title or Position: PRACTICE PRESIDENT
Credential: MD
Phone: 719-577-2555