Individual
ALLAN C LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-PA
Contact information
Practice address
1155 35TH LN, SUITE 100, VERO BEACH, FL 32960-6521
(772) 569-2330
(772) 569-2630
Mailing address
1155 35TH LN, SUITE 100, VERO BEACH, FL 32960-6521
(772) 569-2330
(772) 569-2630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106415
FL
363AS0400X
Surgical Physician Assistant
PA9106415
FL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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