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Organization

VALLEY RADIOTHERAPY ASSOCIATES MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE ELIOTT BOTNICK M.D. (CEO)
(310) 335-4056
Entity
Organization

Contact information

Practice address
799 E. HAMPDEN AVENUE, ENGLEWOOD, CO 80113-2700
(303) 788-5860
(303) 788-7325
Mailing address
4704 HARLAN STREET, SUITE 511, DENVER, CO 80212-7427
(720) 382-1008
(720) 382-1012

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08307229
CO
01
652073
BCBS OF CO
CO
05
92775721
CO
01
CJ9454
RR MEDICARE
CO
Enumeration date
04/25/2008
Last updated
09/26/2014
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