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Organization
MOUNTAIN BLUE CANCER CARE CENTER PC
Active
Organization
MOUNTAIN BLUE CANCER CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DONNAHOO (PRACTICE ADMINISTRATOR)
(303) 731-9495
Entity
Organization
Contact information
Practice address
1444 S POTOMAC ST STE 190, AURORA, CO 80012-4523
(303) 788-8675
(303) 788-8489
Mailing address
799 E HAMPDEN AVE STE 500, ENGLEWOOD, CO 80113-2777
(303) 788-8675
(303) 788-8489
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
01/04/2022
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