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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCENE A BLOOM, P.A.

Active

MARCENE A BLOOM, P.A. is a Physician Assistant healthcare provider located in RAPID CITY, South Dakota. NPI 1174538052 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RAPID CITY, SD

Registration Details

NPI Number
1174538052
Provider Type
Individual
Gender
Female
NPI Issued
Jul 29, 2006 (20.001027633298 yrs)
Last Updated
Feb 1, 2012
License
0479 (SD)

Practice Information

Address
2905 5TH ST
RAPID CITY, SD, 577017316
Browse SD providers · Browse ZIP 57701
Phone
6053417337
Fax
6053412447
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RAPID CITY, SD

Name Credential NPI
MR. ROBERT VANDEVENTER PA-C 1023005626
WENDY PETERSON PA 1891786166
MICHAEL D WESTERBUHR PA-C 1114900453
MICHAEL J AANDERUD PA-C 1265412878
DANIEL SCOTT PALMER PA-C 1295705465
BOBBI L LANGBEHN PA-C 1851364665
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.