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CANCER CENTERS OF COLORADO, LLC

Physicians Internal Medicine Hematology & Oncology

Provider NPI: 1114439924

Organization Information:
Organization Name:  CANCER CENTERS OF COLORADO, LLC
Organization is Subpart
Authorized Official:  DENISE  BLACK-ANDERSEN  DIRECTOR CANCER SERVICE LINE AND SP  303-425-8145

Practice Location:
1601 LOWELL BLVD STE 150  DENVER, CO 80204-1545 US
Tel: 303-403-6820  Fax: 303-403-6393

Business Mailing Address:
500 ELDORADO BLVD STE 4300  BROOMFIELD, CO 80021-3564 US
Tel: --  Fax: --

NPI Information:
NPI: 1114439924
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RH0003XPhysicians
Internal Medicine
Hematology & Oncology

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RH0003X

Type:

Classification:



Definition:



MEDICAL JOBS CO - Page 1

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