Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN EDWARD BLACKER, MD
Active Sole ProprietorOtolaryngology · GREENWOOD VILLAGE, CO
Registration Details
- NPI Number
- 1477697274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2007 (19.17913003095 yrs)
- Last Updated
- Jan 13, 2010
- License
-
27023 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8000 E PRENTICE AVESUITE D-12GREENWOOD VILLAGE, CO, 801112744Browse CO providers · Browse ZIP 80111
- Phone
- 3037953443
- Fax
- 3032906317
- Primary Specialty
-
Otolaryngology
207Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.