Individual
MR. ANDREW A. LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 350-2438
(970) 392-4715
Mailing address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 350-2438
(970) 392-4715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2389
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740493196
—
WY
05
—
43779760
—
CO
01
—
P00944800
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
05/08/2007
Last updated
05/29/2012
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