BLOOM PRIMARY MO, LLC

SAINT LOUIS, MO
NPI1093667750
Entity TypeOrganization
Authorized ContactDEBRA KAY MOON-WADELTON
Revenue Cycle Manager
720-923-1250
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2026-02-13
Last Update Date2026-02-13
Business Address
BLOOM PRIMARY MO, LLC
540 MARYVILLE CENTRE DR STE 340
SAINT LOUIS, MO 63141-5831
Phone number: 720-923-1250
Mailing Address
BLOOM PRIMARY MO, LLC
12600 W COLFAX AVE STE B200
LAKEWOOD, CO 80215-3736
Phone number: 720-923-1250
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