Pikes Peak Radiation Oncology P.C.

LBN: Pikes Peak Radiation Oncology P.C.
Pikes Peak Radiation Oncology P.C. is an health care organization with primary practice located at 1425 N Union Blvd Suite 202, Colorado Springs CO 80909-2871. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Pikes Peak Radiation Oncology P.C. can be contacted via phone (719) 570-7675, or through Hazuka, Mark B via phone (719) 570-7675.

Contact Information

Primary practice address
1425 N Union Blvd Suite 202 Colorado Springs CO 80909-2871
Phone: (719) 570-7675
Fax: (719) 471-9314
Website:
Map and Directions
Authorized official contact:
Name: Hazuka, Mark B Doctor of Medicine (MD)
Phone: (719) 570-7675

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X Colorado

Profile Details

NPI number 1306826482
LBN Legal business name Pikes Peak Radiation Oncology P.C.
DBA Doing business as
Authorized official Hazuka, Mark B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306826482 NPPES
Colorado MEDICAID 04017968
Colorado Other 40421

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