Organization
EIDOLON MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC EDGERTON BLOM MD (MANAGING MEMBER)
(719) 252-7734
Entity
Organization
Contact information
Practice address
1056 EAGLERIDGE BLVD, PUEBLO, CO 81008-2159
(719) 568-0815
(719) 631-2564
Mailing address
PO BOX 9243, PUEBLO, CO 81008-9243
(719) 252-7734
(719) 631-2564
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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