Individual
ROBERT BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 PINION DR STE 100, USAF ACADEMY, CO 80840-2502
(719) 524-2273
Mailing address
4102 PINION DR STE 100, USAF ACADEMY, CO 80840-2502
(719) 524-2273
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0069675
CO
Other
Enumeration date
03/04/2016
Last updated
06/27/2023
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