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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82076529
—
CO
Enumeration date
01/04/2022
Last updated
01/04/2022
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