Organization
HIGH PLAINS ONCOLOGY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAUGHAN ROBERT CIPPERLY M.D. (PRESIDENT)
(719) 565-0200
Entity
Organization
Contact information
Practice address
2004 LAKE AVE, SUITE 110, PUEBLO, CO 81004-3536
(719) 565-0200
(719) 565-0999
Mailing address
2004 LAKE AVE, SUITE 110, PUEBLO, CO 81004-3536
(719) 565-0200
(719) 565-0999
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38639
STATE LICENSE
CO
05
—
44824785
—
CO
Enumeration date
07/12/2006
Last updated
03/07/2023
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