Organization
TRAVIS LOIDOLT D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS LOIDOLT D.O. (MANAGING PHYSICIAN)
(916) 800-4685
Entity
Organization
Contact information
Practice address
584 N. SUNRISE AVE., SUITE 100, ROSEVILLE, CA 95661-2862
(916) 800-4685
(916) 512-3901
Mailing address
2001 RATTLESNAKE RD., NEWCASTLE, CA 95658-9722
(916) 663-2100
(916) 663-2103
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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