Individual
DR. TERESA DIANE LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 A ST, GREELEY, CO 80631-2021
(970) 313-0400
(970) 313-0404
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4606
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50184
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306872445
NPI
CO
05
—
23585871
—
CO
Enumeration date
06/23/2006
Last updated
06/10/2020
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