Individual
BRIAN MOSES LOXTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4567 TURNEY RD, MADISON, OH 44057-9773
(440) 840-3761
Mailing address
4567 TURNEY RD, MADISON, OH 44057-9773
(440) 840-3761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006505
VA
Other
Enumeration date
11/23/2018
Last updated
06/13/2019
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