| JK Blixt D.O. Inc | |
|
1715 N Weber St Ste 260 Colorado Springs CO 80907-7553 | |
| (719) 896-4794 | |
| (719) 896-5484 |
| Full Name | JK Blixt D.O. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1715 N Weber St Ste 260, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jeffrey Blixt (DOCTOR) |
| Authorized Official Contact | 7198964794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| JK Blixt D.O. Inc 1715 N Weber St Ste 260 Colorado Springs CO 80907-7553 Ph: (719) 896-4794 | JK Blixt D.O. Inc 1715 N Weber St Ste 260 Colorado Springs CO 80907-7553 Ph: (719) 896-4794 |
| NPI Number | 1619129269 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619129269 | NPI | - | NPPES |
| 17204062 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38650 (Colorado) | Primary |
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