Organization
ICI 24 7 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L BLOOM M.D (PRESIDENT)
(978) 552-2732
Entity
Organization
Contact information
Practice address
3305 CORINTH PKWY, CORINTH, TX 76208-5380
(940) 270-4100
(602) 345-7733
Mailing address
100 BAYVIEW CIR, SUITE 400, NEWPORT BEACH, CA 92660-2983
(949) 242-5300
(602) 345-7733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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