Organization
BLOOM FAMILY EYE SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BLOOM (MD)
(937) 641-3020
Entity
Organization
Contact information
Practice address
2302 CHESTER BLVD, RICHMOND, IN 47374-1221
(937) 641-3020
(937) 226-9605
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3020
(937) 226-9605
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01051532A
IN
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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