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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL ERIC BLUME, PA-C, RD, CDE

Active

MITCHELL ERIC BLUME, PA-C, RD, CDE is a Surgical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1710334248 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BOISE, ID

Registration Details

NPI Number
1710334248
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2016 (10.276902922544 yrs)
Last Updated
Jun 30, 2022
Licenses
PA-1517 (ID)
PA60794259 (WA)
PA-2266 (ID)

Practice Information

Address
190 E BANNOCK ST
BOISE, ID, 837126241
Browse ID providers · Browse ZIP 83712
Phone
2083815015
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BOISE, ID

Name Credential NPI
MR. DANIEL WINSCHEL PA 1508843038
MRS. ALICIA R BORST P.A.C. 1780641530
ROBERT JAMES BUZZINI P.A. 1497703730
SCOTT B BURNETT PA-C 1295787240
NICOLE F PYLE PA-C 1821009788
MR. MARVIN CHARLES SPARRELL MPAS PA-C 1639181233
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.