IndividualActive
Annie Bloom
NPI 1306433792 · Specialist · Rapid City, SD
Provider details
- NPI number
- 1306433792
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1836 W Kansas City St
Rapid City, SD 57702-2516
Phone: (605) 430-5217
Approximate (ZIP-level) locationGet directions
Mailing address
928 Spring Valley Dr
Divide, CO 80814-9619
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.