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Individual

DR. LINDA S BLUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10900 W 44TH AVE, STE 200, WHEAT RIDGE, CO 80033-2761
(303) 379-9371
(303) 284-4082
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(720) 923-1239
(303) 284-4082

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0054925
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
414354YN6C
MEDICARE PTAN
CO
05
46184864
CO
Enumeration date
05/23/2006
Last updated
09/18/2019
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