# MOUNTAIN BLUE CANCER CARE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699009084
- **Authorized official:** DR. SAMIR E WITTA MD (OWNER)
- **Authorized official phone:** (303) 999-6745

## Contact information

- **Practice address:** 3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113-3907
- **Practice address phone:** (303) 999-6745
- **Practice address fax:** (303) 586-2228
- **Mailing address:** 3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113-3907
- **Mailing address phone:** (303) 999-6745
- **Mailing address fax:** (303) 586-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 39764 | CO | Yes |
| 207RH0003X | Hematology & Oncology Physician | CO39762 | CO | — |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 02/18/2025