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Contact Information

PHILIP C BLUM, MD
150 BUFFALO WAY
JACKSON, WY83002
 Phone: 307-733-8677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PHILIP C BLUM · (Male)

NPI Number 1598829228
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 5933A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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