| Organization Name: | COLORADO CYBERKNIFE LLC |
| NPI Number: | 1003046905 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES KELLEY SIMPSON (OWNER) |
| Mailing Address: | 120 Old Laramie Trl E Lafayette |
| State: | CO US |
| Postal Code: | 800267012 |
| Phone Number: | 3039269800 |
| Fax Number: | 3039269801 |
| NPI Enumeration Date: | 07/27/2009 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |