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Organization
JEFFREY M. BLOOM M.D. INC
Active
Organization
JEFFREY M. BLOOM M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M BLOOM MD (PRESIDENT)
(805) 541-2300
Entity
Organization
Contact information
Practice address
1318 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-3314
(805) 541-2300
(805) 541-2301
Mailing address
1318 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-3314
(805) 541-2300
(805) 541-2301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
08/04/2022
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