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Jonathan Blacker MD

Otolaryngology in Greenwood Village, CO. Organization (NPI-2).

NPI number1063746972
StatusActive
Last updated in NPPESJul 21, 2010

Details

NPI
1063746972
Entity type
Organization (NPI-2)
Legal business name
Jonathan Blacker MD
Organization subpart
No
Enumeration date
Sep 24, 2009
Last updated
Jul 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology27023COYes

Practice location

8000 E. Prentice Avenue
Suite D-12
Greenwood Village, CO 80111-2744

Phone 303-795-3443 · Fax 303-290-6317

Mailing address

8000 E. Prentice Avenue
Suite D-12
Greenwood Village, CO 80111-2744

Phone 303-795-3443 · Fax 303-290-6317

Authorized official

Jonathan E Blacker
Owner
3037953443

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