DANIEL EDWARD BLOOM

GULFPORT, MS
NPI1598301632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   1165862)
Enumeration Date2019-11-25
Last Update Date2019-11-25
Business Address
DANIEL EDWARD BLOOM Physician Assistant
NAVAL BRANCH HEALTH CLINIC GULFPORT 5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Phone number: 228-871-4033
Mailing Address
DANIEL EDWARD BLOOM Physician Assistant
NAVAL HOSPITAL PENSACOLA 6000 WEST HIGHWAY 98
PENSACOLA, FL 32512-0003
Phone number: 850-505-6601
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