Individual
JOSEPH E LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 KOALA AVE, OMAK, WA 98841-9576
(509) 826-1800
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00036330
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811915176
—
WA
01
—
314805
LNI
WA
01
—
P01256565
RR MEDICARE
WA
Enumeration date
07/17/2006
Last updated
12/30/2015
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