Individual
DR. KEITH S BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7271 WEST SAHARA, SUITE 100, LAS VEGAS, NV 89117
(702) 240-4090
(702) 240-4091
Mailing address
7271 WEST SAHARA, SUITE 100, LAS VEGAS, NV 89117-2753
(702) 240-4090
(702) 240-4091
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1121
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502549
—
NV
01
—
1456305995
BCBS
NV
Enumeration date
01/26/2007
Last updated
02/14/2020
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