Individual
DR. JOHN M LONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8326
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8326
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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