Individual
BRIAN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
528 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6336
Mailing address
1401 JOE MORSE DR, COPPERAS COVE, TX 76522-4750
(254) 423-1726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
353
AK
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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