Organization
JK BLIXT D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BLIXT DO,FASAM (DOCTOR)
(719) 896-4794
Entity
Organization
Contact information
Practice address
1715 N WEBER ST STE 260, COLORADO SPRINGS, CO 80907-7553
(719) 896-4794
(719) 896-5484
Mailing address
1715 N WEBER ST STE 260, COLORADO SPRINGS, CO 80907-7553
(719) 896-4794
(719) 896-5484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17204062
—
CO
Enumeration date
10/15/2008
Last updated
03/17/2018
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