Bloom, Gary Allan
Bloom, Gary Allan is an individual health care provider with primary practice located at 4190 E Woodmen Rd Ste 200 , Colorado Springs CO 80920-8075. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bloom, Gary Allan can be contacted via phone (719) 265-6464.Contact Information
Primary practice address
4190 E Woodmen Rd Ste 200
Colorado Springs CO 80920-8075
Phone: (719) 265-6464
Fax: (719) 265-6750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 17828 | Colorado |
Profile Details
| NPI number | 1194947010 |
|---|---|
| LBN Legal business name | Bloom, Gary Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | May 19th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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