DR. Paige Renae Blom, OD

NPI #1215589882 in Surprise, Arizona

Provider Information

NPI Number: 1215589882
Entity Type: Individual
Name: DR. Paige Renae Blom, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 12, 2019
Last Updated: Jul 12, 2019

Practice Location

Address: 16860 W WADDELL RD STE 102
City: Surprise
State: Arizona
ZIP Code: 85388-9621
Phone: (602) 643-4054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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