Individual
DR. JAMES R DEBLOOM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
TL28759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ID287594
—
SC
Enumeration date
07/06/2006
Last updated
10/22/2025
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