RYAN FREDRIC BLOOMQUIST

AUGUSTA, GA
NPI1659893857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  17782)
Additional Taxonomies122300000X Dentist
(Licence: GA  DN015571)
Enumeration Date2017-07-10
Last Update Date2025-06-24
Business Address
Dr. RYAN FREDRIC BLOOMQUIST MD,PHD,DMD,MBA,MPH
1120 15TH ST
AUGUSTA, GA 30912-0001
Phone number: 706-721-2371
Mailing Address
Dr. RYAN FREDRIC BLOOMQUIST MD,PHD,DMD,MBA,MPH
1120 15TH ST
AUGUSTA, GA 30912-0001
Phone number: 706-721-2371