Individual
EDWIN J LOEFFEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-8218
(970) 667-0847
Mailing address
PO BOX 7704, LOVELAND, CO 80537-0704
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191501
—
CO
01
—
300008086
RAILROAD MEDICARE
CO
Enumeration date
07/02/2006
Last updated
07/22/2013
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