Male or Other

Richard A. Blum PA-C

Medical Physician Assistant in Beatrice, NE(View on Map)

Full Name

Richard A Blum PA-C

NPI Number

1306968292

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/04/2007

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

71500

Contact
Information

Purpose

Mailing
Location

Address

1123 N 10TH ST
1123 N 10TH ST

City

Beatrice
Beatrice

State

NE
NE

Postal Code

68310-2001
68310-2001

Country

US
US

Telephone Number

(402) 228-4295
(402) 228-4295

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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