Healthcare Provider Details

I. General information

NPI: 1457651705
Provider Name (Legal Business Name): RADIATION ONCOLOGY CENTER OF THORNTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2010
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9441 HURON ST
THORNTON CO
80260-5426
US

IV. Provider business mailing address

9441 HURON ST
THORNTON CO
80260-5426
US

V. Phone/Fax

Practice location:
  • Phone: 303-657-3780
  • Fax:
Mailing address:
  • Phone: 303-657-3780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CLIFTON HOLMES
Title or Position: DIRECTOR
Credential:
Phone: 303-332-6346