Organization
KEITH S BLUM DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BLUM MD (PHYSICIAN)
(702) 240-4090
Entity
Organization
Contact information
Practice address
7730 W SAHARA AVE, SUITE 109, LAS VEGAS, NV 89117-2798
(702) 240-4090
Mailing address
PO BOX 81136, LAS VEGAS, NV 89180-1136
(702) 256-3637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP781
NV
Other
Enumeration date
02/17/2009
Last updated
12/27/2010
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