Individual
R MICHAEL BLUMHOFF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9897 W MCDOWELL RD, STE 100, TOLLESON, AZ 85353
(480) 563-1058
Mailing address
4424 E KIRKLAND RD, PHOENIX, AZ 85050
(480) 563-1058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715500
—
AZ
Enumeration date
07/06/2006
Last updated
07/08/2007
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