Individual
NOAMI BLUMENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2940 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1160
(719) 635-7321
(719) 635-2510
Mailing address
1890 QUEENS CANYON CT, COLORADO SPRINGS, CO 80921-3691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0006506
CO
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
08/15/2023
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