Organization
PARKWAY MEDICAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN BLUME D.O. (MANAGING PARTNER)
(480) 348-3200
Entity
Organization
Contact information
Practice address
6565 E GREENWAY PKWY, SUITE 100, SCOTTSDALE, AZ 85254-2056
(480) 348-3200
(480) 348-3210
Mailing address
6565 E GREENWAY PKWY, SUITE 100, SCOTTSDALE, AZ 85254-2056
(480) 348-3200
(480) 348-3210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D1000564
CLIA ID NUMBER
AZ
Enumeration date
01/04/2006
Last updated
04/28/2009
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