Individual
JUSTIN MICHAEL LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
U.S. NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50, AGANA HEIGHTS, GU 96910
(671) 344-9315
Mailing address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
09/14/2023
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