Bloom Primary Mo II, LLC
Bloom Primary Mo II, LLC is an Internal Medicine Physician in Saint Louis, Missouri. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
540 Maryville Centre Dr Ste 340Saint Louis, MO 63141-5831
Phone: (303) 993-1330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1417871013 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Moon Wadelton — Authorized Official · (720) 923-1250 |
| NPI enumerated | August 6, 2026 |
| Last updated in NPPES | August 6, 2026 |
| Certification date | August 6, 2026 |
| Mailing address | 12600 W Colfax Ave Ste 200, Lakewood, CO 80215-3733 |
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