Healthcare Provider Details

I. General information

NPI: 1770648719
Provider Name (Legal Business Name): GUY M ZUBLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7695 CHURCH RANCH BLVD UNIT 100
WESTMINSTER CO
80021-5545
US

IV. Provider business mailing address

4295 REDWOOD PL
BOULDER CO
80301-1638
US

V. Phone/Fax

Practice location:
  • Phone: 303-635-2273
  • Fax: 303-635-1225
Mailing address:
  • Phone: 303-579-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number36858
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: