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Organization

BLAZE IOM READING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE KATUNA (CEO)
(713) 500-7128
Entity
Organization

Contact information

Practice address
1511 ONYX CIR, LONGMONT, CO 80504-7805
(713) 500-7128
Mailing address
3102 MAPLE AVE STE 450, DALLAS, TX 75201-1261
(281) 346-3480

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/23/2015
Last updated
11/28/2018
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