Organization
ALPINE RADIATION ONCOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE K MCNEELY MD (MEDICAL DIRECTOR)
(303) 926-9800
Entity
Organization
Contact information
Practice address
120 OLD LARAMIE TRL E, LAFAYETTE, CO 80026-7012
(303) 926-9800
(303) 926-9801
Mailing address
120 OLD LARAMIE TRL E, LAFAYETTE, CO 80026-7012
(303) 926-9800
(303) 926-9801
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
29699
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA103530
GROUP PTAN
CO
01
—
COA103531
INDIVIDUAL PTAN
CO
Enumeration date
08/27/2008
Last updated
02/12/2011
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