Organization
BOULDER CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LAWERANCE SCHEWE M.D. (PRESIDENT)
(303) 448-4620
Entity
Organization
Contact information
Practice address
905 ALPINE AVE, BOULDER, CO 80304-3305
(303) 448-4620
(303) 449-5807
Mailing address
905 ALPINE AVE, BOULDER, CO 80304-3305
(303) 448-4620
(303) 449-5807
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200946901
CO
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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