Provider First Line Business Practice Location Address: 
1665 AURORA CT
    Provider Second Line Business Practice Location Address: 
UNIVERSITY OF COLORADO CANCER CENTER MAIL STOP 703
    Provider Business Practice Location Address City Name: 
AURORA
    Provider Business Practice Location Address State Name: 
CO
    Provider Business Practice Location Address Postal Code: 
80045-2517
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
720-848-0300
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/15/2007