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Individual

DR. PAUL JAY LOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1211 MISSOURI AVE, WEST PLAINS, MO 65775-2105
(417) 257-2454
(417) 256-1119
Mailing address
1211 MISSOURI AVE, WEST PLAINS, MO 65775-2105
(417) 257-2454
(417) 256-1119

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E1288
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E-1288
MEDCICAL LISENCE
AR
Enumeration date
07/30/2006
Last updated
07/08/2007
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