Individual
PAUL D LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL COASTAL WARFARE GROUP ONE, NOLF IB 357140, SAN DIEGO, CA 92135
(619) 437-9856
Mailing address
2013 CLEARWATER PL, CHULA VISTA, CA 91913-2461
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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