Individual provider · Type 1 NPI

Mitchell Eric Blume, PA-C, RD, CDE

Surgical Physician Assistant · Boise, ID

NPI number 1710334248 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-5015 Map

Other practice locations

  • 750 N Syringa St Ste 205, Post Falls, ID 83854-5275 · (208) 262-0945

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA-1517 (ID)
Surgical Physician Assistant 363AS0400XPA60794259 (WA)
Surgical Physician Assistant Primary 363AS0400XPA-2266 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1710334248

Mitchell Eric Blume, PA-C, RD, CDE's National Provider Identifier is 1710334248, issued on May 13, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Jun 30, 2022.