Individual
DR. DAVID PAUL BLISS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4125 BRIARGATE PARKWAY, CHILDREN'S HOSPITAL COLORADO AT BRIARGATE, COLORADO SPRINGS, CO 80920
(719) 305-9035
(719) 305-9036
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
2010020915
MO
2086S0120X
Pediatric Surgery Physician
Primary
DR.0057028
CO
2086S0120X
Pediatric Surgery Physician
K1369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134405
UNITED HEALTH CARE
TX
01
—
10028087
AMERIGROUP
TX
05
—
102614802
—
TX
05
—
102614804
—
TX
01
—
102614805
CSHCN
TX
01
—
114083
SUPERIOR CHIP
TX
01
—
153410005
PACIFIARE
TX
01
—
282728
PHCS
TX
01
—
389963
ONE HEALTH PLAN
TX
01
—
41621
AETNA MEDICAID
TX
01
—
4620671
AETNA
TX
01
—
8155830002
CIGNA
TX
01
—
820908
BLUE CROSS
TX
Enumeration date
11/07/2005
Last updated
08/17/2016
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