| Doctor Name: | RICHARD A BLUM |
| NPI Number: | 1306968292 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 71500 |
| Business Practice Address: | 1123 N 10th St Beatrice, NE - 683102001 |
| Business Phone Number: | 4022284295 |
| Business Fax Number: | 4022283702 |
| Mailing Address: | 1123 N 10th St, BEATRICE |
| State: | NE |
| Postal Code: | 683102001 |
| Phone Number: | 4022284295 |
| Fax Number: | 4022283702 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 71500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |