Individual
MICHELLE LOADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2024-0011
NM
363AM0700X
Medical Physician Assistant
Primary
PA.0003221
CO
Other
Enumeration date
09/27/2007
Last updated
06/10/2025
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