DANIEL EDWARD BLOOM

CAMP LEJEUNE, NC
NPI1598301632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   1165862)
Enumeration Date2019-11-25
Last Update Date2026-01-22
Business Address
DANIEL EDWARD BLOOM Physician Assistant
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-450-4357
Mailing Address
DANIEL EDWARD BLOOM Physician Assistant
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-450-4357
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