Organization
ELM EMERGENCY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W BLUME DO (DIRECTOR)
(800) 893-9698
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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