Whalio Doctors

NPI 1033190251

Mark Stephen Blue

Practitioner Periodontics Durango, CO

Practice location

Address
555 S. Camino del Rio B1, Durango, CO 81303
Phone
(970) 385-6800
Fax
(970) 385-4620
Mailing address
555 S. Camino del Rio B1, Durango, CO 81303-4244

Registered specialties

Periodontics Primary
Dental Providers Taxonomy 1223P0300X Licence CO8384 (CO)

Registry record

NPI
1033190251
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Nov 2005
Record last updated
7 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.