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NPI Code Detail

MEDICARE: DR. JOSHUA DAVID BLUM M.D.

MEDICARE: DR. JOSHUA DAVID BLUM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35926CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770526881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA DAVID BLUM M.D.
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-6000
Fax Number : 303-436-4779
Provider Business Practice Location Address
First Line : 501 28TH ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3003
Country : US
Telephone Number : 303-436-4604
Fax Number : 303-436-4610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/02/2021

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