Individual
ANDREA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(480) 606-8676
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
04/02/2026
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