Individual
GERARD J. O'LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2180
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
(304) 473-2180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1215
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052965000
—
WV
Enumeration date
07/22/2006
Last updated
01/13/2021
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