Individual
JOHN LOUDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(330) 493-4443
Mailing address
2227 3RD AVE, SACRAMENTO, CA 95818-3103
(916) 456-6047
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C40700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C407000
—
CA
Enumeration date
02/08/2007
Last updated
01/09/2013
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