Lee Charles Bloemendal, MD

NPI #1952326787 in Fort Worth, Texas

Provider Information

NPI Number: 1952326787
Entity Type: Individual
Name: Lee Charles Bloemendal, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jul 13, 2006
Last Updated: Oct 4, 2011

Practice Location

Address: 1325 PENNSYLVANIA AVE
Address 2: SUITE 720
City: Fort Worth
State: Texas
ZIP Code: 76104-2144
Phone: (817) 336-7305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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