PHILIP C BLUM

JACKSON, WY
NPI1598829228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WY  5933A)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- PHILIP C BLUM MD
150 BUFFALO WAY
JACKSON, WY 83002
Phone number: 307-733-8677
Mailing Address
-- PHILIP C BLUM MD
1601 E 17TH ST
IDAHO FALLS, ID 83404-6313
Phone number: 208-525-2090
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