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NPI Code Detail

MEDICARE: DR. JOBST GEBHARD BLUM MD

MEDICARE: DR. JOBST GEBHARD BLUM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician13619OK

General Provider Information

NPI Number : 1427053859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOBST GEBHARD BLUM MD
Provider Business Mailing Address
First Line : 6839 S CANTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-3402
Country : US
Telephone Number : 918-494-0612
Fax Number :
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-494-1980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JOBST GEBHARD BLUM MD” Practice Location

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