NPI 1306433792
Annie Bloom
Practice location
- Address
- 1836 W Kansas City St, Rapid City, SD 57702-2516
- Phone
- (605) 430-5217
- Mailing address
- 928 Spring Valley Dr, Divide, CO 80814-9619
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1306433792
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Dec 2020
- Record last updated
- 19 Nov 2024
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.