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Organization
GREGORY A. BLOOM
Active
Organization
GREGORY A. BLOOM
Active
Other names
Valley Springs Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A BLOOM DC (CHIROPRACTOR/OWNER)
(209) 772-2204
Entity
Organization
Contact information
Practice address
23 LAUREL ST, VALLEY SPRINGS, CA 95252-8797
(209) 772-2204
(866) 268-9062
Mailing address
23 LAUREL ST, VALLEY SPRINGS, CA 95252-8797
(209) 772-2204
(866) 268-9062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC22289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0222863
MEDICARE PTAN
CA
Enumeration date
04/01/2011
Last updated
07/07/2020
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