Individual
DARRIELLE VALERIE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, CHIPPENHAM HOSPITAL, RICHMOND, VA 23225-4017
(804) 320-3911
Mailing address
7101 JAHNKE RD, CHIPPENHAM HOSPITAL, RICHMOND, VA 23225-4017
(804) 320-3911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101243337
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301081907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022923V20
MEDICARE PROVIDER NUMBER
VA
05
—
1104845809
—
VA
Enumeration date
07/19/2006
Last updated
05/11/2010
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