Organization
MINGO EMERGENCY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H BLUME DO (DIRECTOR / PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
859 ALDERSON ST, WILLIAMSON, WV 25661-3215
(304) 235-2500
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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