Organization
ROBERT BLAYNEY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L BLAYNEY MD (OWNER)
(720) 641-4309
Entity
Organization
Contact information
Practice address
7931 S BROADWAY, 309, LITTLETON, CO 80122-2710
(720) 641-4309
(303) 347-6395
Mailing address
7931 S BROADWAY, 309, LITTLETON, CO 80122-2710
(720) 641-4309
(303) 347-6395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24896
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24896
STATE LICENSE
CO
Enumeration date
01/25/2007
Last updated
08/22/2020
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