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Individual
JEFFREY IAN BLUME
Active
Individual
JEFFREY IAN BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S7012
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10059593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F4320
MEDICARE
TX
05
—
414081601
—
TX
01
—
8NB459
BCBS
TX
Enumeration date
06/12/2017
Last updated
09/15/2020
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