Healthcare Provider Details

I. General information

NPI: 1972187623
Provider Name (Legal Business Name): ROCKY MOUNTAIN CANCER CENTERS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10107 RIDGEGATE PKWY STE G01
LONE TREE CO
80124-5637
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE CO
80111-4758
US

V. Phone/Fax

Practice location:
  • Phone: 303-285-5020
  • Fax: 303-285-5097
Mailing address:
  • Phone: 303-930-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCINE SILVA
Title or Position: SENIOR CREDENTIALING COORDINATOR
Credential:
Phone: 303-930-7895