# JONATHAN BLACKER MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063746972
- **Authorized official:** DR. JONATHAN E BLACKER M.D. (OWNER)
- **Authorized official phone:** (303) 795-3443

## Contact information

- **Practice address:** 8000 E. PRENTICE AVENUE, SUITE D-12, GREENWOOD VILLAGE, CO 80111-2744
- **Practice address phone:** (303) 795-3443
- **Practice address fax:** (303) 290-6317
- **Mailing address:** 8000 E. PRENTICE AVENUE, SUITE D-12, GREENWOOD VILLAGE, CO 80111-2744
- **Mailing address phone:** (303) 795-3443
- **Mailing address fax:** (303) 290-6317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 27023 | CO | Yes |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 07/21/2010