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Individual

DR. JOHN M LONEY

Active
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Individual

DR. JOHN M LONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MDR3G80
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040050220
MEDICARE PTAN (LRHS PRO FEES)
MO
05
202432803
MO
Enumeration date
10/02/2006
Last updated
02/10/2010
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