Organization
ANGELA LOEB, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA LOEB OD (OPTOMETRIST)
(812) 606-1442
Entity
Organization
Contact information
Practice address
625 BLACK LAKE BLVD SW, SUITE 369, OLYMPIA, WA 98502-5066
(360) 753-4533
Mailing address
625 BLACK LAKE BLVD SW, SUITE 369, OLYMPIA, WA 98502-5066
(360) 753-4533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60164642
WA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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