Carol A Blum, M.D.
Anesthesiology in Independence, MO. Individual provider (NPI-1).
NPI number1013988674
StatusActive
Last updated in NPPESMay 18, 2012
Details
- NPI
- 1013988674
- Entity type
- Individual (NPI-1)
- Name
- Carol A Blum
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2006
- Last updated
- May 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | R7N02 | MO | Yes |
Practice location
1515 W Truman RdSuite 108
Independence, MO 64050-3436
Phone 816-461-3131 · Fax 816-461-1662
Mailing address
1515 W Truman RdSuite 108
Independence, MO 64050-3436
Phone 816-461-3131 · Fax 816-461-1662
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