Individual
ANDREW ALLYN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 S MCCLELLAN ST STE 300, SPOKANE, WA 99204-2450
(509) 838-7100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61102743
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/01/2020
Last updated
03/24/2022
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