Individual
ADAM BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
876 ELECTRIC ST, FARMINGTON, MO 63640-9215
(573) 701-3934
Mailing address
876 ELECTRIC ST, FARMINGTON, MO 63640-9215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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