BOULDER CANCER CENTER, LLC; NPI #1154563807

Contact Information

BOULDER CANCER CENTER, LLC

905 ALPINE AVE
BOULDER, CO 80304-3305

Phone: 303-448-4620
Fax: 303-449-5807
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for BOULDER CANCER CENTER, LLC

NPI Number 1154563807

LBN Legal business name BOULDER CANCER CENTER, LLC

Authorized official KEVIN SCHEWE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/26/2009

Last updated 03/26/2009 - About 17 years ago

Identifiers

License #

200946901

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BOULDER CANCER CENTER, LLC

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for BOULDER CANCER CENTER, LLC

Reviews for BOULDER CANCER CENTER, LLC