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NPI Verification

National Provider Identifier: 1831177948

Keith D Bloom, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

Practice Address

7701 LAS COLINAS RDG STE 460

IRVING, TX 750638081

Phone: 866-367-8768

NPI Enumeration Date

January 9, 2006

NPI Number

1831177948

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Keith Bloom, MD - NPI 1831177948 | Provider Verification | HormoneMap