Individual
CAROL A BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 W TRUMAN RD, SUITE 108, INDEPENDENCE, MO 64050-3436
(816) 461-3131
(816) 461-1662
Mailing address
1515 W TRUMAN RD, SUITE 108, INDEPENDENCE, MO 64050-3436
(816) 461-3131
(816) 461-1662
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R7N02
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202941944
—
MO
Enumeration date
01/31/2006
Last updated
05/18/2012
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