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Individual

MR. DARIN WESLEY BLOOMFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, MHS

Contact information

Practice address
126 WHITE SAGE AVE, DELTA, UT 84624-8937
(435) 864-5591
Mailing address
755 BIRCH DR, DELTA, UT 84624-8944
(801) 391-3810

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6800670-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
6800670-4406
UT

Other

Enumeration date
12/09/2011
Last updated
01/24/2012
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