PAUL R BLOOMQUIST

PHOENIX, AZ
NPI1730167065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  37950)
Enumeration Date2006-01-06
Last Update Date2007-07-09
Business Address
Dr. PAUL R BLOOMQUIST MD
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
Dr. PAUL R BLOOMQUIST MD
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511