Organization
SUMMIT RADIATION ONCOLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A MATESKON MD (PRESIDENT)
(303) 629-3610
Entity
Organization
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 629-3610
(303) 595-6806
Mailing address
8300 W. 38TH AVENUE, WHEAT RIDGE, CO 80033-0000
(303) 629-3610
(303) 595-6806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27422
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274224
—
CO
Enumeration date
10/18/2006
Last updated
07/21/2022
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