Individual
DR. BLAKE J HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 E ELIZABETH ST, STE F101, FORT COLLINS, CO 80524-4044
(303) 847-3188
Mailing address
1120 E ELIZABETH ST, STE F101, FORT COLLINS, CO 80524-4044
(303) 847-3188
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
6576
NE
207Y00000X
Otolaryngology Physician
Primary
DR.0056678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48988359
—
CO
Enumeration date
06/18/2011
Last updated
02/06/2017
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