Individual
KRISTI BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 NW 114TH ST, CLIVE, IA 50325-7007
(515) 222-7000
(515) 222-2737
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7000
(515) 222-2737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29464
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131763
—
IA
Enumeration date
08/11/2006
Last updated
04/10/2009
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