Individual
FIELD T BLEVINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 RIVERGATE LANE, STE 105, DURANGO, CO 81301
(970) 259-3020
(970) 259-9766
Mailing address
575 RIVERGATE LANE, STE 105, DURANGO, CO 81301
(970) 259-3020
(970) 259-9766
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
31119
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
93-216
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14674041
—
CO
Enumeration date
04/28/2006
Last updated
07/08/2007
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