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1619993920
GORDON R BLOOMBERG
SAINT LOUIS, MO
NPI
1619993920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0201X Pediatrics, Pediatric Allergy/Immunology
(Licence: MO R2406)
Enumeration Date
2006-07-14
Last Update Date
2015-11-04
Business Address
Dr. GORDON R BLOOMBERG MD
1 CHILDRENS PL STE 5S30
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-2694
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Mailing Address
Dr. GORDON R BLOOMBERG MD
1 CHILDRENS PL C B 8116
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-2694
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