Organization
WESTERN COLORADO RADIATION ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY J ARCHULETA CPC, ROCC (BILLING MANAGER)
(970) 257-1786
Entity
Organization
Contact information
Practice address
2352 N. 7TH ST., STE. B, GRAND JUNCTION, CO 81501
(970) 257-1786
(970) 257-0035
Mailing address
2352 N 7TH ST, STE. B, GRAND JUNCTION, CO 81501-8168
(970) 257-1786
(970) 257-0035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
007210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017604
—
CO
01
—
179008
BLUE CROSS - BLUE SHIELD
CO
01
—
CG0832
RRMCR
CO
Enumeration date
05/03/2006
Last updated
12/31/2009
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