Organization
CENTENNIAL RADIATION ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS NOONAN (BUSINESS ADMINISTRATOR)
(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
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019378
—
CO
Enumeration date
03/10/2006
Last updated
06/16/2011
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