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SAN JUAN ONCOLOGY ASSOCIATES PC NPI 1144893249


NPI Information

NPI: 1144893249
Provider Name: SAN JUAN ONCOLOGY ASSOCIATES, PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1305 ESCALANTE DR STE 102-103
DURANGO, CO
ZIP 81303
Phone: (970) 335-9261
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SAN JUAN ONCOLOGY ASSOCIATES, PC is a hematology and oncology internal medicine in Durango, CO. The provider is 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. SAN JUAN ONCOLOGY ASSOCIATES, PC NPI is 1144893249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1305 ESCALANTE DR STE 102-103
DURANGO, CO
ZIP 81303-931
Phone: (970) 335-9261
Fax: (970) 828-6890

The provider's authorized official is Eliza Thurson .
The authorized official title is Billing Specialist and has the following contact phone number (505) 564-6871.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 7/19/2021.


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
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
146926534MEDICAIDNEW MEXICO
238022222MEDICAIDNEW MEXICO
397388866MEDICAIDNEW MEXICO
490124758MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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