Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOAN M BLOOM, M.D.
ActiveDR. JOAN M BLOOM, M.D. is a Family Medicine healthcare provider located in PONDERAY, Idaho. NPI 1033229307 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PONDERAY, ID
Registration Details
- NPI Number
- 1033229307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.955864247918 yrs)
- Last Updated
- May 11, 2021
- Licenses
-
M-8563 (ID)M8563 (ID)
Practice Information
- Address
-
30544 HIGHWAY 200SUITE 102PONDERAY, ID, 83852Browse ID providers · Browse ZIP 83852
- Phone
- 2082659817
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PONDERAY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS G FLETCHER | M.D. | 1780646661 |
| JADE DARDINE | MD | 1720493638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.