Individual
DR. STUART LOUIS BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1811 E BERT KOUN LOOP, SUITE 110, SHREVEPORT, LA 71105-5740
(318) 212-3858
(318) 212-3958
Mailing address
1811 E BERT KOUN LOOP, SUITE 110, SHREVEPORT, LA 71105-5740
(318) 212-3858
(318) 212-3958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
07432R
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.07432R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1389749
—
LA
Enumeration date
09/21/2005
Last updated
08/18/2015
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