Individual
HALLIE SIMONE BLUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-7681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0064101
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0064101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000183612
—
CO
Enumeration date
03/29/2016
Last updated
05/12/2026
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