Individual
MR. STEVEN WILLIAM BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C FNP C
Contact information
Practice address
1501 S MAIN ST STE 6, CHARLES CITY, IA 50616-3444
(641) 228-5151
(641) 228-2902
Mailing address
1501 S MAIN ST STE 6, CHARLES CITY, IA 50616-3444
(641) 228-5151
(641) 228-2902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000828
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970008132
RR MEDICARE
—
Enumeration date
08/16/2005
Last updated
11/20/2017
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