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1417077272
RICHARD B BLOOM
WICHITA, KS
NPI
1417077272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: KS T01157)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
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
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Mailing Address
-- RICHARD B BLOOM DO
95068 SPRING TIDE LN
FERNANDINA BEACH, FL 32034-5460
Phone number: 904-277-2803
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