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Contact Information

REBECCA A BLOOM, MD
1145 S UTICA AVE
STE 110
TULSA, OK74104-4012
 Phone: 918-579-6863
 Fax: 918-579-6869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for REBECCA A BLOOM · (Female)

NPI Number 1841207149
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 12/15/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2004015684
  • OK License # 26032
  • MO Medicaid 243419306
  • OK Other 200080180A MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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