Individual
MRS. REBECCA DIANE LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
501 S SANTA FE AVE, SUITE 300, SALINA, KS 67401
(785) 823-1032
(785) 452-7807
Mailing address
501 S SANTA FE AVE, SUITE 300, SALINA, KS 67401
(785) 823-1032
(785) 452-7807
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01395
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200674440A
—
KS
05
—
200674440B
—
KS
Enumeration date
08/27/2010
Last updated
03/04/2020
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