Provider Demographics
NPI:1316930209
Name:BUBLITZ, DEBORAH K (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:BUBLITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 WEST COUNTY LINE RD
Mailing Address - Street 2:STE 110
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2319
Mailing Address - Country:US
Mailing Address - Phone:303-791-9999
Mailing Address - Fax:303-791-2778
Practice Address - Street 1:206 WEST COUNTY LINE RD
Practice Address - Street 2:STE 110
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2319
Practice Address - Country:US
Practice Address - Phone:303-791-9999
Practice Address - Fax:303-791-2778
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO14637208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01149376Medicaid