Organization · Type 2 NPI
Bloomfield Medical Clinic, PC
Medical Physician Assistant · Bloomfield, NE
NPI number
1003091497
Active
Practice location
105 S Broadway Avenue
Bloomfield, NE 68718-0357
Fax (402) 373-4344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1040 (NE) |
| Family Nurse Practitioner | 363LF0000X | 110153 (NE) |
Medical Physician Assistant: Definition to come...
About NPI 1003091497
Bloomfield Medical Clinic, PC's National Provider Identifier is 1003091497, issued on Jan 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bloomfield, NE. The record was last updated on Mar 29, 2010.