RICHARD B BLOOM

WICHITA, KS
NPI1417077272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: KS  T01157)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- RICHARD B BLOOM DO
3730 N RIDGE RD STE 200 KANSAS ENDOVASCULAR MEDICINE ASSOCIATES
WICHITA, KS 67205-1228
Phone number: 316-462-1070
Mailing Address
-- RICHARD B BLOOM DO
95068 SPRING TIDE LN
FERNANDINA BEACH, FL 32034-5460
Phone number: 904-277-2803