Individual
SCOTT DAVID LOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
89
WI
367H00000X
Anesthesiologist Assistant
Primary
AA2019-003
NM
367H00000X
Anesthesiologist Assistant
ANT.0000197
CO
Other
Enumeration date
10/04/2016
Last updated
01/16/2025
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