| Blum | |
|
236 River Vista Pl Twin Falls ID 83301-4078 | |
| (208) 352-6360 | |
| (208) 737-5255 |
| Full Name | Blum |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 236 River Vista Pl, Twin Falls, Idaho |
| Authorized Official Name and Position | Matthew D Geddes (MEMBER) |
| Authorized Official Contact | 2084322025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blum 236 River Vista Pl Twin Falls ID 83301-4078 Ph: (208) 352-6360 | Blum 236 River Vista Pl Twin Falls ID 83301-4078 Ph: (208) 352-6360 |
| NPI Number | 1336309475 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 12/28/2019 |
| Certification Date | 12/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336309475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1169 (Wyoming) | Primary |
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