MARCENE BLOOM, P.A.
Physician Assistant
Active
Individual
NPI: 1174538052
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0479 (SD) |
Frequently Asked Questions
NPI 1174538052 is the National Provider Identifier for MARCENE BLOOM, P.A., a Physician Assistant provider located in Rapid City, SD. This NPI was enumerated on July 29, 2006.
MARCENE BLOOM, P.A. practices at 2905 5TH ST, Rapid City, SD 57701.
Quick Facts
- NPI
- 1174538052
- Type
- Individual
- Enumerated
- Jul 29, 2006
- Last Updated
- Feb 1, 2012
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