Organization
EDWIN J. LOEFFEL JR., MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MARCELLO (OFFICE CONTACT)
(719) 587-1213
Entity
Organization
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-8218
(970) 667-0847
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-8218
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191501
—
CO
01
—
CG2959
RAILROAD MEDICARE
CO
Enumeration date
06/22/2006
Last updated
04/27/2011
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