SHANE TAYLOR BLOOM

LINCOLN, NE
NPI1720670482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  2570)
Enumeration Date2021-02-04
Last Update Date2021-03-25
Business Address
SHANE TAYLOR BLOOM PA
1500 S 48TH ST STE 800
LINCOLN, NE 68506-1200
Phone number: 402-483-8600
Mailing Address
SHANE TAYLOR BLOOM PA
1500 S 48TH ST STE 800
LINCOLN, NE 68506-1200
Phone number: 402-483-8600
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