R Lamont Bloom MD PA

NPI #1477006518 in Wichita, Kansas

Provider Information

NPI Number: 1477006518
Entity Type: Organization
Organization Name: R Lamont Bloom MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Jul 25, 2016
Last Updated: Oct 24, 2018

Practice Location

Address: 406 E CENTRAL AVE
City: Wichita
State: Kansas
ZIP Code: 67202-1058
Phone: (316) 265-0705

Authorized Official

Name: VICKI L BLOOM, RN
Title: SECRETARY/OFFICE MANAGER
Phone: (316) 265-0705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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