Organization
MICHAEL R. LOOPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN WEESE (OFFICE MANAGER)
(304) 472-7703
Entity
Organization
Contact information
Practice address
100 BUCKHANNON CROSSROADS, BUCKHANNON, WV 26201
(304) 472-7703
(304) 472-8808
Mailing address
100 BUCKHANNON CROSSROADS, BUCKHANNON, WV 26201
(304) 472-7703
(304) 472-8808
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
727D
WV
Other
Enumeration date
07/13/2007
Last updated
09/11/2015
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