Organization
1ST ALLERGY & ASTHMA
Active
Other names
Horizon Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY L BLACKER LPN (OFFICE MANAGER)
(720) 929-8300
Entity
Organization
Contact information
Practice address
2136 E 104TH AVE, SUITE C, THORNTON, CO 80233-4313
(720) 929-8300
(720) 929-8444
Mailing address
2136 E 104TH AVE, SUITE C, THORNTON, CO 80233-4313
(720) 929-8300
(720) 929-8444
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
32130
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01321306
—
CO
Enumeration date
07/28/2005
Last updated
08/22/2020
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