Organization · Type 2 NPI

Portercare Adventist Health System

Hematology & Oncology Physician · Castle Rock, CO

NPI number 1720963036 Active

Practice location

2360 Meadows Blvd Ste 300
Castle Rock, CO 80109-8405

Fax (720) 452-7540

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1720963036

Portercare Adventist Health System's National Provider Identifier is 1720963036, issued on Aug 6, 2025. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Castle Rock, CO. The record was last updated on Sep 10, 2025.