Individual provider · NPI-1

Dr. John R Blumer, M.D.

Otolaryngology · Charlotte, NC

NPI number1245207315
StatusActive
Last updated in NPPESMar 31, 2021

Details

NPI
1245207315
Entity type
Individual (NPI-1)
Name
Dr. John R Blumer
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 7, 2006
Certification date
Mar 31, 2021
Last updated
Mar 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology35841NCYes

Practice location

6035 Fairview Rd
Charlotte, NC 28210-3256

Phone 704-295-3000 · Fax 704-838-8494

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256

Phone 704-295-3000 · Fax 704-838-8494

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