Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY GITTEL BLUM, D.O.
Active Sole ProprietorDermatology · WENTZVILLE, MO
Registration Details
- NPI Number
- 1952757007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2016 (9.9559851665001 yrs)
- Last Updated
- Aug 28, 2024
- License
-
2020010791 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1060 MEYER RDWENTZVILLE, MO, 633853800Browse MO providers · Browse ZIP 63385
- Phone
- 3142301500
- Fax
- 3142301122
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in WENTZVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| JAEYOUNG YOON | MD | 1205885563 |
| DR. OMAR W JASSIM | MD, PHD | 1649397415 |
| DR. KYLE J EASH | M.D. PH.D. | 1790072395 |
| DR. LINDSEY GRAVIETT | M.D. | 1235584822 |
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.