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Individual

DR. PHILIP J ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3655 E 104TH AVE, SUITE A, THORNTON, CO 80233-4469
(303) 254-8500
(303) 453-1819
Mailing address
3655 E 104TH AVE, SUITE A, THORNTON, CO 80233-4469
(303) 254-8500
(303) 453-1819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36004
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
69954313
CO
Enumeration date
07/07/2005
Last updated
05/05/2008
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