Individual
DR. MICHAEL R LOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
827 FAIRMONT RD, SUITE 105, MORGANTOWN, WV 26501-3857
(304) 296-3333
(304) 296-2220
Mailing address
827 FAIRMONT RD, SUITE 105, MORGANTOWN, WV 26501-3857
(304) 296-3333
(304) 296-2220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
727-D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150975000
—
WV
Enumeration date
10/06/2005
Last updated
08/23/2012
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