BOULDER CANCER CENTER LLC NPI 1154563807

NPI Information

  • NPI: 1154563807
  • Provider Name: BOULDER CANCER CENTER, LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 905 ALPINE AVE
    BOULDER, CO
    ZIP 80304
  • Phone: (303) 448-4620

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NPI Details

BOULDER CANCER CENTER, LLC is a radiation oncology radiology in Boulder, CO. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. BOULDER CANCER CENTER, LLC NPI is 1154563807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 ALPINE AVE
BOULDER, CO
ZIP 80304-305
Phone: (303) 448-4620
Fax: (303) 449-5807

The provider's authorized official is Kevin Lawerance Schewe .
The authorized official title is President and has the following contact phone number (303) 448-4620.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 3/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology200946901COLORADOYes

What is NPI?

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This page was last updated on: 11/21/2025

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