Provider Demographics
NPI:1902046576
Name:DENVER CYBERKNIFE, LLC
Entity Type:Organization
Organization Name:DENVER CYBERKNIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHANN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAYLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-396-1408
Mailing Address - Street 1:10463 PARK MEADOWS DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5316
Mailing Address - Country:US
Mailing Address - Phone:303-396-1400
Mailing Address - Fax:303-643-9646
Practice Address - Street 1:10463 PARK MEADOWS DR
Practice Address - Street 2:SUITE 114
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5316
Practice Address - Country:US
Practice Address - Phone:303-396-1400
Practice Address - Fax:303-643-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4605Medicare UPIN