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Organization

BLOOM HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA K WADELTON (REVENUE CYCLE MANAGER)
(303) 993-1330
Entity
Organization

Contact information

Practice address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/11/2018
Last updated
11/27/2019
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