RUSSELL C BLOOM

PARKER, CO
NPI1467499665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  32685)
Enumeration Date2006-05-31
Last Update Date2014-02-18
Business Address
Dr. RUSSELL C BLOOM DO
19641 E PARKER SQUARE DR SUITE A
PARKER, CO 80134-7399
Phone number: 303-840-3800
Mailing Address
Dr. RUSSELL C BLOOM DO
2452 WEST DRY DRY CREEK CT
LITTLETON, CO 80120
Phone number: 303-819-4711
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