Individual
RANDALL T LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-2500
Mailing address
250 N SHADELAND AVENUE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01056971A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200427130
—
IN
Enumeration date
05/12/2006
Last updated
05/08/2015
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