Andria Anita Bloom, PA-C

NPI #1528343258 in Burlington, Washington

Provider Information

NPI Number: 1528343258
Entity Type: Individual
Name: Andria Anita Bloom, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: PA-C
Enumeration Date: Oct 13, 2011
Last Updated: Oct 13, 2011

Practice Location

Address: 1162 S. BURLINGTON BOULEVARD
City: Burlington
State: Washington
ZIP Code: 98233
Phone: (360) 757-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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