Organization
SOUTHWEST ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E BUSH M.D. (PRESIDENT)
(970) 385-7977
Entity
Organization
Contact information
Practice address
1 MERCADO ST STE 100, DURANGO, CO 81301-7300
(970) 385-7977
Mailing address
PO BOX 5581, DENVER, CO 80217-5581
(970) 385-7977
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020277599
ENERGY EMPLOYEE OCCUP
CO
05
—
02721287
—
CO
01
—
205165100
DPT OF LABOR WORKCOMP
CO
05
—
849888
—
AZ
05
—
K6916
—
NM
01
—
SO65319
BLUE CROSS BLUE SHIELD
CO
Enumeration date
09/15/2006
Last updated
04/20/2008
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