| NPI | 1518324268 |
|---|---|
| Doing Business As | BLOSSOM MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | THOMAS W UMBACH Owner 702-463-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2023-10-24 |