Individual
DAVID-JAMES BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 SONOMA AVE, 17, SANTA ROSA, CA 95404-4802
(707) 575-3500
(707) 575-3530
Mailing address
990 SONOMA AVE, 17, SANTA ROSA, CA 95404-4802
(707) 575-3500
(707) 575-3530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G47414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G474140
—
CA
Enumeration date
04/24/2006
Last updated
03/07/2023
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