Individual
MR. TED R. LOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
502 BUFFALO DR., ALPINE, WY 83128-3109
(307) 883-4569
(307) 883-4568
Mailing address
PO BOX 1287, JACKSON, WY 83001-1287
(307) 883-4569
(307) 883-4568
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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