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Organization
MOUNTAIN BLUE CANCER CARE CENTER
Active
Organization
MOUNTAIN BLUE CANCER CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR WITTA (PRACTICE MANAGER)
(303) 870-3293
Entity
Organization
Contact information
Practice address
3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113-3907
(303) 999-6745
(303) 586-2228
Mailing address
4747 S DOWNING ST, ENGLEWOOD, CO 80113-5917
(303) 999-6745
(303) 586-2228
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
05/09/2024
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