NPI 1174503726

Mary Jo Bloominger, PA

Practitioner Physician Assistant Rock Island, IL

Practice location

Address: 2550 24th St, Rock Island, IL 61201-5304
Phone: (309) 793-4223
Fax: (309) 793-6276

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1174503726
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2006
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.