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Individual
MATT L LOEWEN
Active
Individual
MATT L LOEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2290
OK
207Q00000X
Family Medicine Physician
Primary
G3026
TX
208D00000X
General Practice Physician
G3026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A6188
MEDICARE- GROUP
TX
05
—
133831110
—
TX
01
—
8F24345
MEDICARE - INDIVIDUAL
TX
Enumeration date
09/09/2005
Last updated
04/11/2025
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