Individual
DR. RONALD J BLUMENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4305 N MESA ST STE B, EL PASO, TX 79902-1124
(915) 779-7378
(915) 779-2822
Mailing address
4305 N MESA ST STE B, EL PASO, TX 79902-1124
(915) 779-7378
(915) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D4715
TX
207Y00000X
Otolaryngology Physician
D4715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114996504
—
TX
Enumeration date
06/30/2005
Last updated
01/28/2020
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