Individual
CARLY H LOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 LINCOLN WAY STE 315, COEUR D ALENE, ID 83814-2527
(208) 625-6000
(208) 625-6001
Mailing address
2010 NW FRONT AVE APT 304, PORTLAND, OR 97209-1854
(208) 604-4848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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