Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Blue Cancer Care Center PC

Organization Hematology & Oncology Physician · NPI 1699009084

Mountain Blue Cancer Care Center PC is a Hematology & Oncology Physician in Englewood, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3501 S Corona St Ste 1
Englewood, CO 80113-3907
Phone: (303) 999-6745
Fax: (303) 586-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 39764 (CO)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence CO39762 (CO)

Record details

NPI number1699009084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samir Witta — Owner · (303) 999-6745
NPI enumeratedOctober 1, 2009
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address3501 S Corona St Ste 1, Englewood, CO 80113-3907

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