Individual
SHIMON YECHIEL BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1536 COLE BLVD STE 120, LAKEWOOD, CO 80401-3405
(303) 423-8334
(303) 456-1856
Mailing address
1536 COLE BLVD STE 120, LAKEWOOD, CO 80401-3405
(303) 423-8334
(303) 456-1856
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
50730
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50730
COLORADO LICENSE
CO
01
—
ME107862
LICENSE
FL
Enumeration date
08/31/2006
Last updated
02/27/2020
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