Provider Demographics
NPI:1700205473
Name:ROCKY MOUNTAIN CANCER CENTERS, LLP
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN CANCER CENTERS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-577-2555
Mailing Address - Street 1:1800 WILLIAMS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1237
Mailing Address - Country:US
Mailing Address - Phone:303-285-5085
Mailing Address - Fax:303-930-5517
Practice Address - Street 1:4700 HALE PKWY STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4051
Practice Address - Country:US
Practice Address - Phone:303-321-0302
Practice Address - Fax:303-930-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7168950001Medicare NSC