| Bloom Primary Mo, Llc | |
|
540 Maryville Centre Dr Ste 340 Saint Louis MO 63141-5831 | |
| (720) 923-1250 | |
| Not Available |
| Full Name | Bloom Primary Mo, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 540 Maryville Centre Dr Ste 340, Saint Louis, Missouri |
| Authorized Official Name and Position | Debra Kay Moon-wadelton (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 7209231250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Primary Mo, Llc 12600 W Colfax Ave Ste B200 Lakewood CO 80215-3736 Ph: (720) 923-1250 | Bloom Primary Mo, Llc 540 Maryville Centre Dr Ste 340 Saint Louis MO 63141-5831 Ph: (720) 923-1250 |
| NPI Number | 1093667750 |
|---|---|
| Provider Enumeration Date | 02/13/2026 |
| Last Update Date | 02/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093667750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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