MICHAEL A. BLOOM D.M.D. PLLC
Managed Care Organizations in Hayden, ID

License number
Idaho D3394
Category
Managed Care Organizations
Type
Health Maintenance Organization
License number
Idaho D3555
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MRS. KATHY L. MARKS
Title: OFFICE MANAGER
Phone: (208) 772-3583
Address
Address
9928 N GOVERNMENT WAY, Hayden, ID 83835
National Provider ID: 1033554845
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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