Individual
EDMUND LLOYD BLACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 BIGHORN RD, FORT COLLINS, CO 80525-3480
(970) 229-9800
Mailing address
2025 BIGHORN RD, FORT COLLINS, CO 80525-3480
(970) 229-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56170
CO
207Q00000X
Family Medicine Physician
M-10856
ID
Other
Enumeration date
06/20/2008
Last updated
08/30/2021
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