Nathan Michael Bloom, MD

NPI #1164629218 in Lawrence, Kansas

Provider Information

NPI Number: 1164629218
Entity Type: Individual
Name: Nathan Michael Bloom, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 2, 2007
Last Updated: Dec 6, 2022

Practice Location

Address: 4921 W 18TH ST
City: Lawrence
State: Kansas
ZIP Code: 66047-2090
Phone: (785) 830-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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