Dr. Mark Stephen Blue
Periodontist
555 S. Camino Del Rio B1
Durango
, Colorado 81303
Dr. Mark Stephen Blue
Periodontist
555 S. Camino Del Rio B1
Durango
, Colorado 81303
(970) 385-4620
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Mark Stephen Blue
- 555 S. Camino Del Rio B1
- Durango, CO
- Zip : 81303-4244
- Fax : (970) 385-4620
- Phone : (970) 385-6800
Second Address
- Dr. Mark Stephen Blue
- 555 S. Camino Del Rio B1
- Durango, CO
- Zip : 81303
- Fax : (970) 385-4620
- Phone : (970) 385-6800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | CO8384 | CO |
National Provider Identifier
| NPI | 1033190251 |
|---|---|
| Provider Name | Dr. Mark Stephen Blue |
| First Address | Durango, CO 81303-4244 |
| Second Address | Durango, CO 81303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 07/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.