Organization
BLOOM REPRODUCTIVE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLIE A BEHERA M.D. (PHYSICIAN)
(480) 434-6565
Entity
Organization
Contact information
Practice address
8415 N PIMA RD, STE 290, SCOTTSDALE, AZ 85258-4480
(480) 434-6565
(480) 383-6426
Mailing address
8415 N PIMA RD, STE 290, SCOTTSDALE, AZ 85258-4480
(480) 434-6565
(480) 383-6426
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
42873
AZ
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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