Individual
RICHARD BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 LILYS WAY, WINCHESTER, VA 22602-7651
(540) 771-4228
Mailing address
302 LILYS WAY, WINCHESTER, VA 22602-7651
(540) 771-4228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2306001616
VA
Other
Enumeration date
10/30/2014
Last updated
12/18/2015
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