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1043274566
BARRY THEIL BLOOM
WICHITA, KS
NPI
1043274566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: KS k19765)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
Dr. BARRY THEIL BLOOM MD
550 N HILLSIDE ST WESLEY DEPARTMENT OF NEONATOLOGY
WICHITA, KS 67214-4910
Phone number: 316-259-0810
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Mailing Address
Dr. BARRY THEIL BLOOM MD
550 N HILLSIDE ST WESLEY DEPARTMENT OF NEONATOLOGY
WICHITA, KS 67214-4910
Phone number: 316-259-0810
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