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Individual

JOSEPH F LOOBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 638-8987
(307) 638-7829
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11027A
WY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
11027A
WY
2086S0105X
Surgery of the Hand (Surgery) Physician
5101012652
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
11027A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4653892-11
MI
Enumeration date
06/19/2006
Last updated
11/03/2022
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