Provider Demographics
NPI:1881966448
Name:BLOOMBERG, JOSHUA ZALMAN (DO)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ZALMAN
Last Name:BLOOMBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 S. ASH AVE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6837
Mailing Address - Country:US
Mailing Address - Phone:602-833-6585
Mailing Address - Fax:602-903-2333
Practice Address - Street 1:6301 S. MCCLINTOCK DR.
Practice Address - Street 2:SUITE 201
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3394
Practice Address - Country:US
Practice Address - Phone:480-838-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-29
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ007758207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine