Organization
DURANGO CANCER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN E BUSH MD (OWNER)
(970) 385-4746
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE 100, DURANGO, CO 81301-7306
(970) 385-4746
(970) 259-5787
Mailing address
1 MERCADO ST, SUITE 100, DURANGO, CO 81301-7306
(970) 385-4746
(970) 259-5787
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013058
—
CO
05
—
G2317
—
NM
Enumeration date
07/30/2006
Last updated
01/26/2011
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