IndividualActive
Bennett Blum, MD
NPI 1124322151 · Geriatric Psychiatry Physician · Tucson, AZ
Provider details
- NPI number
- 1124322151
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 27112 (AZ)
Practice location
5425 E Broadway Blvd
Pmb #358
Tucson, AZ 85711-3704
Phone: (520) 990-4145
Mailing address
5425 E Broadway Blvd
Tucson, AZ 85711-3704
Registry dates
- Enumerated
- 2011-01-05
- Last updated
- 2011-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.