Bloom Healthcare
Internal Medicine in Wheat Ridge, CO. Organization (NPI-2).
NPI number1982175311
StatusActive
Last updated in NPPESNov 27, 2019
Details
- NPI
- 1982175311
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloom Healthcare
- Organization subpart
- No
- Enumeration date
- Dec 11, 2018
- Last updated
- Nov 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
10900 W 44th Ave Unit 200Wheat Ridge, CO 80033-2742
Phone 303-993-1330
Mailing address
10900 W 44th Ave Unit 200Wheat Ridge, CO 80033-2742
Phone 303-993-1330
Authorized official
Debra K Wadelton
Revenue Cycle Manager
3039931330
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