Cook, Blaze

Cook, Blaze is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Cook, Blaze can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
12605 E 16Th Ave Aurora CO 80045-2545
Phone: (720) 848-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0444551 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13455C Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46788 Colorado
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X CDRH.0046788 Colorado

Profile Details

NPI number 1437296704
LBN Legal business name Cook, Blaze
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437296704 NPPES
Colorado MEDICAID 17586798

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