Individual
ROSEMARY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6116 E ARBOR AVE, STE 102, MESA, AZ 85206-6107
(480) 654-2312
(480) 830-8506
Mailing address
PO BOX 1040, GLOBE, AZ 85502-1040
(928) 425-7133
(928) 425-7134
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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