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General NPI Number Information
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NPI Number | 1679740914
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Entity Type | Individual
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Provider Name | PAIGE LEIGH DORN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 4700 HALE PKWY STE 150
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City | DENVER
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State | CO
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Zip | 80220-4054
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Country | US
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Telephone | 303-320-7006
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Fax | 303-320-7085
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST STE 210
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City | DENVER
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State | CO
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Zip | 80237-3487
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Country | US
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Telephone | 303-320-7006
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Fax | 303-320-7085
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 125-052755.
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 57950
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License Number State | CO
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