Individual
DR. JAMES G BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3851 PIPER ST, TOWER U, SUITE LL002, ANCHORAGE, AK 99508-4684
(907) 212-3186
(907) 212-3665
Mailing address
P.O. BOX 94165, SEATTLE, WA 98124-6465
(907) 212-3186
(907) 212-3665
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
6548
AK
2085R0001X
Radiation Oncology Physician
MD0000036692
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3045857
BLUE CROSS TN GROUP
TN
01
—
4045612
BLUE CROSS B/S TN INDIV.
TN
Enumeration date
02/06/2006
Last updated
08/12/2010
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