Individual
DR. DON CHARLES LOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K ST, SUITE 502, SACRAMENTO, CA 95816-5120
(877) 515-0053
(916) 454-6926
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G83923
CA
2085R0204X
Vascular & Interventional Radiology Physician
G83923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G839230
—
CA
Enumeration date
06/24/2005
Last updated
07/29/2015
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