Individual
DR. LOREN SCOTT WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3722 S 16TH AVE, TUCSON, AZ 85713-6080
(520) 882-7009
(520) 882-5227
Mailing address
3722 S 16TH AVE, TUCSON, AZ 85713-6080
(520) 882-7009
(520) 882-5227
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM0367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075954
—
AZ
01
—
AZ0191030
BCBS PROVIDER ID #
AZ
01
—
DPM0367
STATE LICENSE #
AZ
Enumeration date
07/02/2006
Last updated
06/06/2013
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