| NPI | 1760956031 |
|---|---|
| Doing Business As | BLOOM AND GROW PEDIATRICS |
| Doing Business As | BLOOM MEDICAL SERVICES LLC |
| Other Name | BLOOM MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SUSAN BRUCE Owner 575-921-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-07-01 |