Individual
BARRY BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78-6831 ALI'I DRIVE, SUITE 328, KAILUA-KONA, HI 96740
(808) 747-8321
(808) 322-6005
Mailing address
78-6831 ALI'I DRIVE, SUITE 328, KAILUA-KONA, HI 96740
(808) 747-8321
(808) 331-8682
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G15800
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD3340
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00024190
HMSA
HI
05
—
21856
—
HI
Enumeration date
09/08/2006
Last updated
06/12/2012
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