Individual
LARRY WEBSTER BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D37246
MD
2084N0600X
Clinical Neurophysiology Physician
D37246
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165767
GROUP MEDICARE BWMC SURGICAL ASSOCIATES
MD
05
—
548571100
—
MD
Enumeration date
10/14/2005
Last updated
01/29/2020
Update your record
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