Basic Information
| Provider Information | |||||||||
| NPI: | 1700205473 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROCKY MOUNTAIN CANCER CENTERS, LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 WILLIAMS ST STE 100 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802181237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032855085 | ||||||||
| FaxNumber: | 3039305517 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 HALE PKWY STE 400 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802204051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033210302 | ||||||||
| FaxNumber: | 3039305517 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2014 | ||||||||
| LastUpdateDate: | 05/16/2019 | ||||||||
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| AuthorizedOfficialLastName: | MURPHY | ||||||||
| AuthorizedOfficialFirstName: | TIMOTHY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7195772555 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332900000X | Y | Suppliers | Non-Pharmacy Dispensing Site |
No ID Information.