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Individual
DR. SHEILA EVA BLOOMQUIST
Active
Individual
DR. SHEILA EVA BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036112093
IL
207Q00000X
Family Medicine Physician
Primary
40881
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178726
AHCCCS #
—
05
—
178726
—
AZ
Enumeration date
02/20/2007
Last updated
10/23/2013
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