Bennett Blum, MD Valid NPI
Individual provider · Geriatric Psychiatry Physician · Tucson, AZ
- NPI
- 1124322151
- Type
- Individual (Type 1)
- Primary specialty
- Geriatric Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0805X
- License number
- 27112 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-01-05
- Last updated
- 2011-01-05
Practice location
5425 E Broadway Blvd, Pmb #358
Tucson, AZ 85711-3704
(520) 990-4145