Individual
DR. LOIC J. FABRICANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Mailing address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD166346
OR
208600000X
Surgery Physician
MD61183692
WA
2086S0102X
Surgical Critical Care Physician
MD166346
OR
2086S0102X
Surgical Critical Care Physician
MD61183692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500654931
—
OR
Enumeration date
06/16/2008
Last updated
08/31/2021
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