Mary Jo Bloominger, PA

NPI #1174503726 in Rock Island, Illinois

Provider Information

NPI Number: 1174503726
Entity Type: Individual
Name: Mary Jo Bloominger, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 19, 2006
Last Updated: Dec 28, 2007

Practice Location

Address: 2550 24TH ST
City: Rock Island
State: Illinois
ZIP Code: 61201-5304
Phone: (309) 793-4223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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