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R Lamont Bloom Md Pa
Specialist in Wichita, Kansas
NPI 1497023741

R Lamont Bloom Md Pa is a Specialist based in Wichita, KS. R Lamont Bloom Md Pa practices in Wichita, KS. The NPI Number for R Lamont Bloom Md Pa is 1497023741 and holds a License No. 04-18702 (Kansas).

The current practice location address for R Lamont Bloom Md Pa is 406 E Central Ave, Wichita, KS and can be reached out via phone at 316-265-0705 and via fax at 316-265-0785.

Location: 406 E Central Ave, Wichita, KS, 67202-1058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497023741
Provider Name
R Lamont Bloom Md Pa
Credential
Provider Entity Type
Organization
Address
406 E Central Ave, Wichita, KS, 67202-1058
Phone Number
316-265-0705
Fax Number
316-265-0785
Provider Enumeration Date
12/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100195740A 05 KS
institution
Provider Business Practice Location Address Details
Address
406 E Central Ave
City
Wichita
State
Kansas
Zip
67202-1058
Phone Number
316-265-0705
Fax Number
316-265-0785
person
Provider Business Mailing Address Details
Address
406 E Central Ave
City
Wichita
State
Kansas
Zip
67202-1058
Phone Number
316-265-0705
Fax Number
316-265-0785
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
04-18702 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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