Individual
DR. MARCUS BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
227 MIDLAND AVENUE, SUITE C-6, BASALT, CO 81621
(970) 927-1004
Mailing address
227 MIDLAND AVE, SUITE C-6, BASALT, CO 81621-8114
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10275
CO
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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