Organization
J. FREDRICK BLUHM III, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDRICK BLUHM III M.D. (PRESIDENT)
(660) 827-2034
Entity
Organization
Contact information
Practice address
1431 THOMPSON BLVD., SEDALIA, MO 65301-2244
(660) 827-2034
Mailing address
1431 THOMPSON BLVD., SEDALIA, MO 65301-2244
(660) 827-2034
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R6A34
MO
Other
Enumeration date
10/04/2010
Last updated
10/26/2010
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