Organization
COLORADO WEST HEALTHCARE SYSTEM
Active
Other names
Grand Valley Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
688 23 1/2 ROAD, SUITE 101, GRAND JCT, CO 81505-8904
(970) 254-3180
(970) 254-3198
Mailing address
PO BOX 1687, GRAND JCT, CO 81502-1687
(970) 254-3180
(970) 254-3198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000206548
—
CO
Enumeration date
12/21/2021
Last updated
01/31/2024
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