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JAMES C LOOMIS DPM

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1104899103

Individual Registrant:
 JAMES C LOOMIS DPM
Gender: M
Sole Proprietor

Location and contact information for practice:
322 CHURCH ST  JESSUP, PA 18434-1024 US
Tel: 570-383-4958  Fax: 570-383-3018

Contact information for business:
322 CHURCH ST  JESSUP, PA 18434-1024 US
Tel: 570-383-4958  Fax: 570-383-3018

Registration Information:
NPI: 1104899103
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
PASC-003449-L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0012410720003PA05




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