Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | DR.0034464 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | DR.0034464 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | J7308 | TX |
NPI | 1215938683 |
---|---|
Provider Name | Marsden Scott Blois IV |
First Address | Boulder, CO 80301-2709 |
Second Address | Boulder, CO 80303-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 09/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G47521 | (02) |