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Individual

BRYCE J LODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
906 MEADOW LN, LINDSBORG, KS 67456-1600
(785) 906-0135
Mailing address
906 MEADOW LN, LINDSBORG, KS 67456-1600
(785) 906-0135

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-18740
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100140550D
KS
Enumeration date
07/08/2006
Last updated
11/15/2012
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