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Individual
RICHARD ALAN BLOOMFIELD
Active
Individual
RICHARD ALAN BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080051402
RAILROAD MEDICARE
NC
05
—
343858A
—
NC
01
—
561384536
TRICARE CHAMPUS
NC
05
—
8916314
—
NC
Enumeration date
01/03/2008
Last updated
04/17/2008
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