Individual
DR. ANITA GAY BLOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LIMON CORRECTIONAL FACILITY, 49030 SOUTH HIGHWAY 71, LIMON, CO 80826-0001
(719) 775-7665
(719) 775-7651
Mailing address
8727 E KETTLE PL, CENTENNIAL, CO 80112-2710
(720) 529-5942
(303) 771-7554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29352
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293521
—
CO
Enumeration date
11/26/2006
Last updated
07/08/2007
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