Healthcare Provider Details

I. General information

NPI: 1124024450
Provider Name (Legal Business Name): HEMATOLOGY ONCOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E HARMONY RD UNIT 150
FORT COLLINS CO
80528-3413
US

IV. Provider business mailing address

2121 E HARMONY RD UNIT 150
FORT COLLINS CO
80528-3413
US

V. Phone/Fax

Practice location:
  • Phone: 970-493-6337
  • Fax: 970-493-3528
Mailing address:
  • Phone: 970-493-6337
  • Fax: 970-493-3528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. MIHO T SCOTT
Title or Position: MD
Credential: M.D.
Phone: 970-493-6337