Joan Bloom, MD

FAMILY PRACTICE

30544 Hwy 200

Suite 102

Ponderay, ID 838525005

(208) 265-9817

**NPI:** 1033229307

**Med School:** OHIO STATE UNIVERSITY COLLEGE OF MEDICINE

**Experience:** 40 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

MICHAEL R DIBENEDETTO MD PLLC

30544 Hwy 200, Suite 102
Ponderay, ID 838525005

Phone: (208) 265-9817

**Group ID:** 0840385670 | **Group Size:** 8 members

KOOTENAI HEALTH Type: Hospital
2003 KOOTENAI HEALTH WAY
Phone: (208) 625-4000
Medicare CCN: 130049 View Profile

BOUNDARY COMMUNITY HOSPITAL Type: Hospital
6640 KANIKSU STREET
Phone: (208) 267-3141
Medicare CCN: 131301 View Profile

BONNER GENERAL HOSPITAL Type: Hospital
520 NORTH THIRD AVENUE
Phone: (208) 263-1441
Medicare CCN: 131328 View Profile

Hospice Type: Hospice
Medicare CCN: 131514 View Profile

Home health agency Type: Home health agency
Medicare CCN: 137122 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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