Organization
ROCKY MOUNTAIN ONCOLOGY CENTER, LLC
Active
Other names
Rocky Mountain Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAOQIANG LIN (EXECUTIVE VICE PRESIDENT)
(214) 587-4079
Entity
Organization
Contact information
Practice address
6501 EAST 2ND STREET, CASPER, WY 82609-4293
(307) 235-5433
(307) 233-4700
Mailing address
PO BOX 846266, LOS ANGELES, CA 90084-6266
(307) 235-5433
(307) 233-4700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2438A
WY
2085R0001X
Radiation Oncology Physician
4463A
WY
363LF0000X
Family Nurse Practitioner
16021.02
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121006800
—
WY
Enumeration date
05/25/2006
Last updated
04/24/2026
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