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Individual

DR. DAVID R. BLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(704) 957-4219
(970) 203-7179
Mailing address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(704) 957-4219
(970) 203-7179

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35076198
OH
207T00000X
Neurological Surgery Physician
Primary
47844
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020299
KAISER COMMERCIAL NUMBER
CO
05
2115222
OH
05
59427256
CO
Enumeration date
09/24/2006
Last updated
09/22/2020
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