Individual
DR. BLAKE ALEX FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2029 MEANDER RD, WINDSOR, CO 80550-4628
(970) 381-0829
Mailing address
2029 MEANDER RD, WINDSOR, CO 80550-4628
(970) 381-0829
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
43327
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12683027
—
CO
01
—
P00711616
RR MEDICARE
CO
Enumeration date
01/02/2006
Last updated
01/09/2026
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