Provider Demographics
NPI:1548223001
Name:BLIVEN, CHRISTINE ANN MORRISON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANN MORRISON
Last Name:BLIVEN
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 1:10700 E GEDDES AVE
Mailing Address - Street 2:200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3800
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO385042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84059792913Medicaid
NE84089712600Medicaid
AZ479839Medicaid
KS200632660AMedicaid
WY1548223001Medicaid
CO841360845OtherCOMMERCIAL
NM31037551Medicaid
MT1548223001Medicaid
CO40830233Medicaid
WY1548223001Medicaid
MT1548223001Medicaid
NE84059792913Medicaid
NM31037551Medicaid