RONALD S. BLOOM

SALT LAKE CITY, UT
NPI1134208705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT  188614-1205)
Enumeration Date2006-11-03
Last Update Date2007-08-01
Business Address
Dr. RONALD S. BLOOM M.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7572
Mailing Address
Dr. RONALD S. BLOOM M.D.
PO BOX 581289
SALT LAKE CITY, UT 84158-1289
Phone number: 801-581-7572