BYRON J BLOOM

SHELBYVILLE, TN
NPI1801074042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TN  922)
Enumeration Date2008-02-08
Last Update Date2013-03-14
Business Address
-- BYRON J BLOOM PA-C
883 UNION ST
SHELBYVILLE, TN 37160-2607
Phone number: 931-685-1145
Mailing Address
-- BYRON J BLOOM PA-C
883 UNION ST
SHELBYVILLE, TN 37160-2607
Phone number: 931-685-1145
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