Individual
JACOB EDWARD BLUMENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
(303) 436-2727
(303) 436-2710
Mailing address
12089 ROCKDALE ST, PARKER, CO 80138-8750
(415) 200-7158
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0008462
CO
Other
Enumeration date
03/19/2024
Last updated
04/29/2024
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