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1831177948
KEITH D BLOOM
IRVING, TX
NPI
1831177948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: TX P1967)
Enumeration Date
2006-01-09
Last Update Date
2020-06-03
Business Address
KEITH D BLOOM MD
2021 N MACARTHUR BLVD STE 450
IRVING, TX 75061-2219
Phone number: 866-367-8768
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Mailing Address
KEITH D BLOOM MD
5001 S COOPER ST STE 201
ARLINGTON, TX 76017-5993
Phone number: 866-367-8768
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