R LAMONT BLOOM MD PA

WICHITA, KS
NPI1497023741
Entity TypeOrganization
Authorized ContactR. LAMONT BLOOM
President
316-265-0705
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: KS  04-18702)
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
R LAMONT BLOOM MD PA
406 E CENTRAL AVE
WICHITA, KS 67202-1058
Phone number: 316-265-0705
Mailing Address
R LAMONT BLOOM MD PA
406 E CENTRAL AVE
WICHITA, KS 67202-1058
Phone number: 316-265-0705
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