Individual
JEFFREY BRIAN BLOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 E GALBRAITH RD, SUITE 206, CINCINNATI, OH 45236-6703
(513) 791-4490
(513) 791-7287
Mailing address
4760 E GALBRAITH RD, SUITE 206, CINCINNATI, OH 45236-6703
(513) 791-4490
(513) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35-042156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426524
—
OH
Enumeration date
10/11/2006
Last updated
09/12/2014
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