# DR. SHEILA EVA BLOOMQUIST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750425849
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036112093 | IL | — |
| 207Q00000X | Family Medicine Physician | 40881 | AZ | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 10/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 178726 | AHCCCS \# | — |
| 05 | — | 178726 | — | AZ |