Stuart Louis Blum MD

NPI 1073509535 - Specialist - 174400000X

NPI Details
NPI 1073509535
Gender Male
Enumeration Date 09/21/2005
Last Updated 08/18/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1811 E BERT KOUN LOOP
SUITE 110
SHREVEPORT LA, 71105-5740, US
Phone (318) 212-3858
Fax (318) 212-3958
Business Location
1811 E BERT KOUN LOOP
SUITE 110
SHREVEPORT LA, 71105-5740, US
Phone (318) 212-3858
Fax (318) 424-2595
Toxanomy
Taxonomy Code 174400000X
License State Louisiana
License Number 07432R
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According to our database, Dr. Stuart Louis Blum MD NPI is 1073509535, taxonomy code is 174400000X and license number is 07432R, license state is located at Louisiana. Stuart Louis Blum MD physically located at 1811 E Bert Koun Loop, Shreveport LA, 71105-5740. NPI Number Stuart Louis Blum MD has the Individual type.

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1073509535 NPI number is provided on an as is basis without warranty of any kind. 1073509535 is maintained by the National Plan & Provider Enumeration System. The contents of Stuart Louis Blum MD are for informational purposes only.