Individual
DR. MYRON E BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3804 S DEARBORN ST, SPOKANE, WA 99223-1239
(509) 939-4042
Mailing address
3804 S DEARBORN ST, SPOKANE, WA 99223-1239
(509) 939-4042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16361
WA
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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