Organization
COLORADO CYBERMED, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A DICKERSON MD (OWNER)
(303) 532-2130
Entity
Organization
Contact information
Practice address
10463 PARK MEADOWS DR, SUITE 114, LONE TREE, CO 80124-5316
(303) 532-2130
(303) 532-2131
Mailing address
10463 PARK MEADOWS DR, SUITE 114, LONE TREE, CO 80124-5316
(303) 532-2130
(303) 532-2131
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
PENDING
CO
261QX0203X
Radiation Oncology Clinic/Center
PENDING
CO
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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