Organization
CHOA MD PC
Active
Other names
CHILDHOOD HEMATOLOGY ONCOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A COOK MD (PRESIDENT)
(719) 471-2462
Entity
Organization
Contact information
Practice address
320 E FONTANERO ST, SUITE 308, COLORADO SPRINGS, CO 80907-7529
(303) 986-9504
(719) 574-4974
Mailing address
320 E FONTANERO ST, SUITE 308, COLORADO SPRINGS, CO 80907-7529
(719) 471-2462
(719) 574-4974
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417959107
NPI STEPHEN R PALMER MD
CO
01
—
1497767578
THOMAS J SMITH MD
CO
01
—
1497775142
NPI BRUCE A COOK MD
CO
Enumeration date
11/17/2006
Last updated
08/22/2020
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