Mitchell Lee Blom in Pella - Family Medicine
Mitchell Lee Blom - NPI 1558341917
Mitchell Lee Blom is a Family Medicine in Pella, Iowa. Mitchell Lee Blom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mitchell Lee Blom is 1558341917. The last update date is 2022-08-30.
Mitchell Lee Blom's current location address is 405 Monroe St, Pella, Iowa. You can contact this provider via phone number 6416212200 and fax number 6416212335. The mailing address for Mitchell Lee Blom is 405 Monroe St, Pella, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Lee Blom |
|---|---|
| Address | 405 Monroe St, Pella, Iowa |
| Phone Number | 6416212200 |
| Fax Number | 6416212335 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1558341917 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2022-08-30 |
Provider Mailing Address Detail
| Address | 405 Monroe St |
|---|---|
| City | Pella |
| State | Iowa (IA) |
| Post Code | 502191189 |
| Phone Number | 6416212200 |
| Fax Number | 6416212335 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3272 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3210203 | IA | -- | |
| 110128513 | IA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mitchell Lee Blom by the Centers for Medicare & Medicaid Services?
The Mitchell Lee Blom has been issued the NPI (National Provider Identifier) 1558341917 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mitchell Lee Blom is geographically located?
The Mitchell Lee Blom is physically situated at the following location: 405 Monroe St, Pella, IA, 502191189.
What is the Mitchell Lee Blom's specialty and taxonomy code?
The Mitchell Lee Blom's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Mitchell Lee Blom receive its 1558341917 assignment from the Centers for Medicare & Medicaid Services?
The Mitchell Lee Blom was assigned its 1558341917 by the Centers for Medicare & Medicaid Services on 2006-01-20.
As of what date were the details related to Mitchell Lee Blom most recently updated or revised?
The information pertaining to Mitchell Lee Blom, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-30.