Individual
DR. MARK STEPHEN BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 S. CAMINO DEL RIO, B1, DURANGO, CO 81303
(970) 385-6800
(970) 385-4620
Mailing address
555 S. CAMINO DEL RIO, B1, DURANGO, CO 81303-4244
(970) 385-6800
(970) 385-4620
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CO8384
CO
Other
Enumeration date
11/07/2005
Last updated
08/07/2019
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