Organization
LOVELAND SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BLOMQUIST MD (OWNER/PHYSICIAN)
(970) 669-3212
Entity
Organization
Contact information
Practice address
1900 BOISE AVE, #420, LOVELAND, CO 80538-5004
(970) 669-3212
(970) 669-6162
Mailing address
1900 BOISE AVE, #420, LOVELAND, CO 80538-5004
(970) 669-3212
(970) 669-6162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04011326
—
CO
Enumeration date
11/03/2006
Last updated
10/07/2010
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