Organization
ROCKY MOUNTAIN CANCER CENTERS LLP
Active
Parent organization
ROCKY MOUNTAIN CANCER CENTERS LLP
Other names
Rocky Mountain Cancer Centers-Longmont-Mobile PETCT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKY MOUNTAIN CANCER CENTERS LLP
Authorized official
NANCY R. WORTHAM (SENIOR CREDENTIALING COORDINATOR)
(303) 930-7803
Entity
Organization
Contact information
Practice address
1380 TULIP ST, LONGMONT, CO 80501-3157
(303) 930-7800
(303) 930-5503
Mailing address
7951 E MAPLEWOOD AVE STE 350, GREENWOOD VILLAGE, CO 80111-4758
(303) 930-7803
(303) 930-5503
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/16/2021
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