Annie Bloom
NPI #1306433792 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1306433792
- Entity Type
- Individual
- Name
- Annie Bloom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 1836 W KANSAS CITY ST
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-2516
- Phone
- (605) 430-5217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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