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Individual

MICHAEL GRAHAM LOAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
206 W COUNTY LINE RD STE 210, HIGHLANDS RANCH, CO 80129-2320
(303) 795-5980
(303) 795-7881
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25456
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01254564
CO
01
080146383
RAILROAD MEDICARE
CO
Enumeration date
08/10/2005
Last updated
12/28/2023
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