Individual
BECKY MARIE BLOEDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-4660
(303) 602-4714
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-4660
(303) 602-4714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0004754
CO
363A00000X
Physician Assistant
Primary
0004754
CO
363A00000X
Physician Assistant
0010-01762
NC
363A00000X
Physician Assistant
1185
AK
Other
Enumeration date
03/16/2009
Last updated
06/05/2024
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