Organization
ALPINE RS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE KENT MCNEELY M.D. (MEDICAL DIRECTOR)
(303) 884-7990
Entity
Organization
Contact information
Practice address
905 ALPINE AVE, BOULDER, CO 80304-3305
(303) 884-7990
Mailing address
1919 HARDSCRABBLE DR, BOULDER, CO 80305-7132
(303) 884-7990
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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