| Bloom Med, Llc | |
|
2301 S Stearman Dr Chandler AZ 85286-2263 | |
| (520) 800-5676 | |
| Not Available |
| Full Name | Bloom Med, Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 2301 S Stearman Dr, Chandler, Arizona |
| Authorized Official Name and Position | Mark Goforth (OWNER) |
| Authorized Official Contact | 5209047987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Med, Llc 2301 S Stearman Dr Chandler AZ 85286-2263 Ph: (520) 800-5676 | Bloom Med, Llc 2301 S Stearman Dr Chandler AZ 85286-2263 Ph: (520) 800-5676 |
| NPI Number | 1447140504 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447140504 | NPI | - | NPPES |
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