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Organization
LOOMIS MEDICAL CLINIC
Active
Organization
LOOMIS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALAN GRAMM D.O. (PHYSICIAN)
(916) 652-0427
Entity
Organization
Contact information
Practice address
6135 KING RD, SUITE A, LOOMIS, CA 95650-8877
(916) 652-0427
(916) 652-4197
Mailing address
6135 KING RD, SUITE A, LOOMIS, CA 95650-8877
(916) 652-0427
(916) 652-4197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ94479Z
MEDICARE
CA
Enumeration date
12/27/2007
Last updated
12/27/2007
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