Individual provider · Type 1 NPI

Dominique Blume

Medical Physician Assistant · Pittsburgh, PA

NPI number 1205476009 Active

Practice location

5230 Centre Ave, 3rd Floor
Pittsburgh, PA 15232-1304

Mailing address

5115 Centre Ave Fl 3, 3rd Floor
Pittsburgh, PA 15232-1301

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA061380 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1205476009

Dominique Blume's National Provider Identifier is 1205476009, issued on Jan 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittsburgh, PA. The record was last updated on Jun 15, 2021.