BLOOM AND GROW PEDIATRICS LLC is a primary care clinic center in Cloudcroft, NM. BLOOM AND GROW PEDIATRICS LLC NPI is 1760956031. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bloom And Grow Pediatrics.
The provider's business location address is:
1315 BURRO AVE
Phone: (575) 682-2002
The provider's authorized official is Susan Bruce .
The authorized official title is Owner and has the following contact phone number (575) 921-2318.
The CLIA number assigned to this NPI record is 32D2160058 - other practitioner with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/18/2019 and was last updated on 9/28/2021.