Provider Demographics
NPI:1215524996
Name:CUTANEOUS ONCOLOGY SERVICES LLC
Entity type:Organization
Organization Name:CUTANEOUS ONCOLOGY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-316-8091
Mailing Address - Street 1:2653 W 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3380
Mailing Address - Country:US
Mailing Address - Phone:720-316-8091
Mailing Address - Fax:
Practice Address - Street 1:499 E HAMPDEN AVE STE 130
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2791
Practice Address - Country:US
Practice Address - Phone:720-316-8091
Practice Address - Fax:833-979-0946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty