| Shari Bloom, PA-C | |
|
1665 Bonanza Dr, Park City, UT 84060-5127 | |
| (435) 649-7640 | |
| (435) 649-1365 |
| Full Name | Shari Bloom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1665 Bonanza Dr, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053564179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | MT0903117 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Shari Bloom, PA-C Po Box 27128, Salk Lake City, UT 84127-0128 Ph: (801) 491-6482 | Shari Bloom, PA-C 1665 Bonanza Dr, Park City, UT 84060-5127 Ph: (435) 649-7640 |
Richard Rainville, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1154 Center Dr Ste D250, Park City, UT 84098 Phone: 385-246-5971 | |
Cynthia C Berwald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2720 Homestead Rd, Suite 100, Park City, UT 84098 Phone: 435-940-9400 | |
Amelia Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way, E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Natalie Marie Blaskowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 100, Park City, UT 84060 Phone: 435-656-6600 | |
Kevin Bryan James Huntington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 | |
Bradon T Mckinnon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 801-648-5551 |