Healthcare Provider Details

I. General information

NPI: 1881966448
Provider Name (Legal Business Name): JOSHUA ZALMAN BLOOMBERG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 S. MCCLINTOCK DR. SUITE 201
TEMPE AZ
85283-3394
US

IV. Provider business mailing address

5005 S. ASH AVE SUITE A2
TEMPE AZ
85282-6837
US

V. Phone/Fax

Practice location:
  • Phone: 480-838-3100
  • Fax:
Mailing address:
  • Phone: 602-833-6585
  • Fax: 602-903-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number007758
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: