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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82076529
—
CO
Enumeration date
01/04/2022
Last updated
05/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us