Creekside Cancer Care LLC

NPI #1912137811 in Lafayette, Colorado

Provider Information

NPI Number: 1912137811
Entity Type: Organization
Organization Name: Creekside Cancer Care LLC
Primary Specialty: Clinic/Center - Oncology, Radiation
Enumeration Date: Jul 27, 2009
Last Updated: Oct 18, 2010

Practice Location

Address: 120 OLD LARAMIE TRL E
City: Lafayette
State: Colorado
ZIP Code: 80026-7012
Phone: (303) 926-9800

Authorized Official

Name: CHARLES KELLEY SIMPSON, M.D.
Title: MEDICAL DIRECTOR
Phone: (303) 926-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oncology, Radiation — Oncology, Radiation	261QX0203X	Primary

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