JOHN BLOOM

DAYTON, OH
NPI1194107227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: OH  35. 021640)
Enumeration Date2015-06-25
Last Update Date2015-06-25
Business Address
Dr. JOHN BLOOM M.D.
230 N MAIN ST
DAYTON, OH 45402-1263
Phone number: 937-531-2268
Mailing Address
Dr. JOHN BLOOM M.D.
230 N MAIN ST
DAYTON, OH 45402-1263
Phone number: 937-531-2268
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