Individual
DR. ZACHARY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
60 NW SHERIDAN RD STE 5, LAWTON, OK 73505-6338
(580) 354-9009
Mailing address
60 NW SHERIDAN RD STE 5, LAWTON, OK 73505-6338
(580) 354-9009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4386
OK
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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