Keith S Blum DO PC
Speech-Language Pathologist, in Las Vegas, NV. Organization (NPI-2).
NPI number1457590366
StatusActive
Last updated in NPPESDec 27, 2010
Details
- NPI
- 1457590366
- Entity type
- Organization (NPI-2)
- Legal business name
- Keith S Blum DO PC
- Organization subpart
- No
- Enumeration date
- Feb 17, 2009
- Last updated
- Dec 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP781 | NV | Yes |
Practice location
7730 W Sahara AveSuite 109
Las Vegas, NV 89117-2798
Phone 702-240-4090
Mailing address
Po Box 81136Las Vegas, NV 89180-1136
Phone 702-256-3637
Authorized official
Keith Blum
Physician
7022404090
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