SHARI BLOOM, PA-C

Physician Assistant

Active Individual
NPI: 1053564179

Practice Address

1665 BONANZA DR
Park City, UT 84060

Phone: (435) 649-7640

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -
Nurse Practitioner - Family 363LF0000X No MT0903117 (UT)

Frequently Asked Questions

NPI 1053564179 is the National Provider Identifier for SHARI BLOOM, PA-C, a Physician Assistant provider located in Park City, UT. This NPI was enumerated on November 3, 2008.
SHARI BLOOM, PA-C practices at 1665 BONANZA DR, Park City, UT 84060.

Quick Facts

NPI
1053564179
Type
Individual
Enumerated
Nov 3, 2008
Last Updated
Sep 4, 2012

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