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Individual

MARNIE M LOFTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1105 N ANKENY BLVD, ANKENY, IA 50023-4006
(515) 964-4600
(515) 964-9838
Mailing address
1105 N ANKENY BLVD, ANKENY, IA 50023-4006
(515) 964-4600
(515) 964-9838

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3339
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080182615
RR MEDICARE
IA
05
1215915624
IA
05
1253054
IA
05
2253054
IA
05
3253054
IA
05
4253054
IA
Enumeration date
01/05/2006
Last updated
05/22/2012
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