Organization
ASHLAND EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALAN LOFTUS OD (OWNER)
(541) 482-3873
Entity
Organization
Contact information
Practice address
450 SISKIYOU BLVD, SUITE 2, ASHLAND, OR 97520-5107
(541) 482-3873
(541) 482-9115
Mailing address
450 SISKIYOU BLVD, SUITE 2, ASHLAND, OR 97520-5107
(541) 482-3873
(541) 482-9115
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2634ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298558
—
OR
Enumeration date
11/20/2009
Last updated
04/13/2010
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