Individual
DR. IAN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11140 ROCKVILLE PIKE, STE 303, NORTH BETHESDA, MD 20852-3106
(301) 458-0204
Mailing address
5712 CHAPMAN MILL DR, APT 310, NORTH BETHESDA, MD 20852-5542
(202) 494-4442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03499
MD
111N00000X
Chiropractor
30261
CA
Other
Enumeration date
01/23/2007
Last updated
11/21/2013
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