Individual
ALICIA LOCH PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0540410
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110931172
MEDICARE
KS
05
—
200071422
—
MO
05
—
200717690B
—
OK
05
—
201240540A
—
KS
Enumeration date
03/03/2016
Last updated
06/01/2023
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