IndividualActive
Ronald Bloom, M.D.
NPI 1134208705 · Neonatal-Perinatal Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1134208705
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 188614-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-7572
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 581289
Salt Lake City, UT 84158-1289
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.