NATHAN MICHAEL BLOOM MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1164629218- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4921 W 18TH ST, LAWRENCE, KS, 660472090
- Phone
- (785) 830-0100
- Fax
- (785) 830-0115
Specialties & Taxonomies
Family Medicine
License: KS #9406871
Family Medicine
Primary License: KS #0432319