| Doctor Name: | DR. CAROL JEAN BLACKARD |
| NPI Number: | 1841358157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 23884 |
| Business Practice Address: | 3035 S Parker Rd Suite 562 Aurora, CO - 800142926 |
| Business Phone Number: | 3036716110 |
| Business Fax Number: | 3033697673 |
| Mailing Address: | 7802 S Garfield Way, CENTENNIAL |
| State: | CO |
| Postal Code: | 801223513 |
| Phone Number: | 3036716110 |
| Fax Number: | 3033697673 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 08/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |