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Blake Lawrence Reichert, DO
Student in an Organized Health Care Education/Training Program in Pueblo, Colorado
NPI 1528701513

Blake Lawrence Reichert is a Student in an Organized Health Care Education/Training Program based in Pueblo, CO. Blake Lawrence Reichert practices in Pueblo, CO and has the professional credentials of DO. The NPI Number for Blake Lawrence Reichert is 1528701513 and holds a License No. TL.0009353 (Colorado).

The current practice location address for Blake Lawrence Reichert is 902 Lakeview Ave, Pueblo, CO and can be reached out via phone at 719-557-5872.

Location: 902 Lakeview Ave, Pueblo, CO, 81004-3597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528701513
Provider Name
Blake Lawrence Reichert
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
902 Lakeview Ave, Pueblo, CO, 81004-3597
Phone Number
719-557-5872
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
902 Lakeview Ave
City
Pueblo
State
Colorado
Zip
81004-3597
Phone Number
719-557-5872
Fax Number
person
Provider Business Mailing Address Details
Address
902 Lakeview Ave
City
Pueblo
State
Colorado
Zip
81004-3597
Phone Number
719-557-5872
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TL.0009353 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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